Sample records for 37-year-old man presented

A previously healthy, immunocompetent 37-year-oldman was hospitalized with a 3-month history of intermittent fevers and cough with mucopurulent sputum preceded by flu-like symptoms. Five episodes of similar symptoms had prompted two hospitalizations and three courses of outpatient antibiotics. The fever would subside with treatment but intermittent dry cough persisted. There was no history of weight loss, night sweats, wheezing, arthralgia, skin rash, hemoptysis, recent travel, sick contacts, or high-risk sexual behavior. He was a nonsmoker with no alcohol or recreational drug use. He was an accountant in the military with no history of significant organic or inorganic dust exposures.

Patient: Male, 37 Final Diagnosis: PDGFRβ-rearranged myeloid neoplasm with eosinophilia Symptoms: Night sweats • weight loss Medication: — Clinical Procedure: — Specialty: Hematology Objective: Rare disease Background: PDGFRβ-positive myeloid neoplasms are rare. Marked leukocytosis (over 100×109/L) with marked eosinophilia (over 10%) has been rarely described in myeloid neoplasms associated with PDGFRβ rearrangement. Case report: We report a case of 37-year-oldman with myeloid neoplasm associated with PDGFRβ rearrangement who presented with marked eosinophilia of 13.3% and leukocytosis with WBC count of 189×109/L. He was found to have PDGFRβ locus rearrangement at 5q32-33 by fluorescent in situ hybridization (FISH). He responded very well to low-dose imatinib therapy. To the best of our knowledge this degree of hypereosinophilia and leukocytosis in a young adult was reported only once previously. Using low dose therapy in treating this condition has rarely been reported and has not been clearly defined. Our case demonstrated that low dose imatinib therapy can be as effective as high dose imatinib therapy in treating PDGFRβ-positive myeloid neoplasms. Conclusions: The patient presented with very high WBC and eosinophil count rarely reported in a young adult with PDGFRβ-rearranged myeloid neoplasm. The recognition of this rare presentation as a manifestation of PDGFRβ-gene translocation is important, and equally important that low-dose imatinib (100 mg/day) might have the same effect as higher dose imatinib (400 mg/day). PMID:28209946

Previous researchers have reported on the use of augmented home exercise programs with potential carry-over effects from manual therapy treatment. While there is no direct evidence to support augmented manual therapy, tangential evidence demonstrates that specific, supervised, and adherent exercises result in improved outcomes. The purpose of this case report is to describe an augmented home program simulating the manual techniques provided by the therapist. A 37-year-old female presented with symptoms and signs consistent with femoroacetabular impingement (FAI). Grade III lateral and inferior femoral glides decreased reported pain from 5/10 to 0/10. Given the immediate response to hip mobilizations, the patient was prescribed standing lateral glides and supine inferior glides of the hip with the use of a belt. During this time, the patient's Lower Extremity Functional Scale score improved from 74 to 78 and she reported increased ability to self-manage her symptoms. The immediate report of decreased pain helped determine the specific home program selected for this individual patient. This case highlights the importance of a specific augmented home exercise program unique to the individual patient resulting in self-management of pain associated with FAI.

A 37-year-old heating, ventilation, and air-conditioning mechanic developed respiratory, musculoskeletal, and central nervous system symptoms associated with a variety of odorous environmental chemicals. Organic disease was not evident, but the patient was distressed by these symptoms and was at risk for becoming disabled by them. His symptoms fit broadly into the condition recognized as multiple chemical sensitivity. Multiple chemical sensitivity is a diagnostic term for a group of symptoms without demonstrated organic basis. The symptoms are characteristic of dysfunction in multiple organ systems, they increase and decrease according to exposure to low levels of chemical agents in the patient's environment, and they sometimes occur after a distinct environmental change or insult such as an industrial accident or remodeling. Although traditional medical organizations have not agreed on a definition for this syndrome, it is being increasingly recognized and makes up an increasing percentage of the caseload at occupational and environmental medicine clinics. Although there is often dispute about whether the symptoms have a functional or organic basis, an informed approach to evaluation, diagnosis, and management and a careful assessment of impairment, disability, and work relatedness are necessary. Careful exclusion of organic causes is critical, and this should be followed by a judicious approach to coping with symptoms.

A 37-year-old heating, ventilation, and air-conditioning mechanic developed respiratory, musculoskeletal, and central nervous system symptoms associated with a variety of odorous environmental chemicals. Organic disease was not evident, but the patient was distressed by these symptoms and was at risk for becoming disabled by them. His symptoms fit broadly into the condition recognized as multiple chemical sensitivity. Multiple chemical sensitivity is a diagnostic term for a group of symptoms without demonstrated organic basis. The symptoms are characteristic of dysfunction in multiple organ systems, they increase and decrease according to exposure to low levels of chemical agents in the patient's environment, and they sometimes occur after a distinct environmental change or insult such as an industrial accident or remodeling. Although traditional medical organizations have not agreed on a definition for this syndrome, it is being increasingly recognized and makes up an increasing percentage of the caseload at occupational and environmental medicine clinics. Although there is often dispute about whether the symptoms have a functional or organic basis, an informed approach to evaluation, diagnosis, and management and a careful assessment of impairment, disability, and work relatedness are necessary. Careful exclusion of organic causes is critical, and this should be followed by a judicious approach to coping with symptoms. PMID:10753098

This document provides papers presented at a conference that focused on the ways in which definitions of quality are translated into practice in early childhood education and on ways to assess the quality of practice. The conference included four keynote lectures, presentation of six papers, and four symposia. The lectures, which are not included…

Metallographic studies and mechanical tests, including isostress rupture tests, were conducted on 1Cr-1/2Mo steel samples removed from a 37yearold catalytic reforming reactor vessel. The vessel operates in a hydrogen environment at 900 F (482 C) maximum. The base metal and to a lesser extent the heat affected zone (HAZ) exhibited some isolated grain boundary voids. Fissures or microcracks were not observed. No significant changes were found in the tensile strength and ductility but a small reduction in yield strength was noted. Both base metal and the weld metal had low toughness. However, HAZ exhibited good impact properties. Deembrittlement heat treatment resulted in only moderate improvement in the impact properties. The actual fracture time for the reactor material in the isostress rupture tests and the fracture time for unused 1Cr-1/2Mo steel calculated from the curve published in ASTM DS 50 differed only by 20%. Extrapolation of the isostress rupture test data indicated that the remaining life of the reactor vessel is in excess of 20 years if the current operating temperature of 900 F (482 C) is maintained. To further ensure operation safety a periodic nondestructive examination of critical areas is recommended.

The granuloma gravidarum is a rare benign tumour with gingival origin. It occurs in circa 0.2% of pregnancies. Mostly we see an asymptomatic course of disease terminated by hormonal changes after delivery. If the granuloma is associated with complaints of the pregnant woman, for example masticational pain or recurrent bleedings, therapeutic options are conservative therapy, surgery or delivery. We report the case of a 37-year-old 1st gravida, 1st para who had an induced delivery in the 39+2 gestational week because of a symptomatic granuloma gravidarum. We saw a spontaneous remission of the granuloma within 3 months post partum. The case report underlines the importance of suitable information for pregnant women about oral hygiene and the necessity of regular dental controls during pregnancy for prophylaxis of granuloma gravidarum.

Since 1973, when Roble and Dickinson first attempted to reconcile measurements of the solar extreme-ultraviolet spectrum with thermospheric temperatures [R. G. Roble and R. E. Dickinson, J. Geophys. Res., 78, 249, 1973], investigators have struggled to understand thermosphere, ionosphere, photoelectron, and airglow observations in the context of our evolving understanding of solar energetic photons. Despite a rich history of observations by satellite and rocket instruments, spanning the spectral range from soft X-rays through the extreme-ultraviolet to the far ultraviolet, and covering most of four solar cycles, uncertainties in the magnitude and variability of the solar spectrum have persisted, particularly at the shortest wavelengths. A recurring theme of these issues has been an ongoing desire of modelers for more photons, especially energetic ones. Now, with simultaneous solar observations by the SEE instrument on the TIMED satellite, the SEM instrument on the SOHO spacecraft, the EVE instrument on the Solar Dynamics Observatory, and calibration rocket flights, we should at last be able to close this chapter in aeronomy. However, new challenges continue to materialize, including the anomalously low levels of solar EUV during the 2008-2009 solar minimum, and the surprisingly rapid cooling of the thermosphere due to increasing levels of anthropogenic carbon dioxide and other greenhouse gases. This presentation reviews the history of solar measurements and their interplay with modeling efforts, assesses the current state of knowledge, identifies key remaining uncertainties, and suggests the need for revision of thermospheric cooling rates.

Offers an interpretation of Jean-Jacques Rousseau's "Discourse on the Origin and Foundations of Inequality" and provides examples of classroom exercises designed to make Rousseau's ideas and writings accessible to undergraduates. Stresses Rousseau's philosophy on natural man, language, ethics, and society. Includes interpretive…

A 37-year-oldmanpresented with fever, decreased vision in the left eye, a partial left cranial nerve III paresis, and a left cranial nerve VI paresis. Neuro-imaging showed an opacification of a left pneumatised anterior clinoid process. After failing a course of intravenous antibiotics, a craniotomy was performed with exenteration of the cavity and resolution of symptoms. Although rare, a pyocele of a pneumatised anterior clinoid process may cause ocular morbidity and require surgical intervention.

A 22 year old manpresented with a severe ischaemic diabetic retinopathy and, in spite of photocoagulation therapy, was blind in one eye 16 months after diagnosis. Four similar cases of aggressive diabetic retinopathy are reviewed. There is increasing evidence that a small group of young men with insulin dependent diabetes (IDD) may develop severe diabetic retinopathy at, or soon after, diagnosis. Images Figure 1 PMID:1904157

Subarachnoid haemorrhage (SAH) due to spinal ependymoma is very rare. We report a 37yearoldman who presented with typical clinical signs of SAH. Lumbar puncture confirmed SAH but cerebral angiography was negative, and further diagnostic work-up revealed an ependymoma of the conus medullaris as the source of the haemorrhage. A comprehensive review of the literature was conducted. Only 17 patients with spontaneous SAH due to a spinal ependymoma have been reported since 1958. However, in cases of SAH and negative diagnostic findings for cerebral aneurysms or malformations, this aetiology should be considered and work-up of the spinal axis completed.

Thyrotoxic periodic paralysis (TPP) is a rare metabolic disorder characterised by muscular weakness and paralysis in predisposed thyrotoxic patients. Although patients with TPP are almost uniformly men of Asian descent, cases have been reported in Caucasian and other ethnic populations. The rapid increase in ethnic diversity in Western and European nations has led to increase in TPP reports, where it was once considered exceedingly rare. Correcting the hypokalaemic and hyperthyroid state tends to reverse the paralysis. However, failure to recognise the condition may lead to delay in diagnosis and serious consequences including respiratory failure and death. We describe a young man who was diagnosed with hyperthyroidism who presented with acute paralysis. The clinical characteristics, pathophysiology and management of TTP are reviewed. PMID:22927268

Retinal detachment and testicular lesions are 2 rare presentations of syphilis. We describe a man with bilateral retinal detachment from ocular syphilis and syphilitic orchitis as a manifestation of syphilis and HIV coinfection.

The aim of this article is to report a case of necrotizing sialometaplasia with long-term follow-up. A case of necrotizing sialometaplasia in a 37-year-oldman with clinical documentation on the progress during a 2-year follow-up is presented. Data from an extensive review of the literature including clinical, imagenologic, and microscopic features are provided. Information on diagnostic and prognostic factors is offered and comprehensibly discussed. The importance of identification and diagnosis of this entity during the review of the slides from the first biopsy is stressed and the exclusive performance of an incisional biopsy is debated. The presented clinical photographs reveal the clinical changes of the lesion from the beginning of the lesions up to 2 years follow-up, documenting the complete long-term clinical course and the healing process of this entity.

Natural killer/T-cell (NK/T-cell) lymphoma-nasal subtype, is a rare form of non-Hodgkin's lymphoma, most common in South East Asia, and can have an ophthalmological presentation. This report describes a 51-year-old Caucasian man with uveitis, recurrent retinal detachment and paraneoplastic features subsequently diagnosed as NK/T-cell lymphoma.

A 37yearoldmanpresented with progressive dysarthria for 2 weeks. A week later he developed ataxia and bilateral cerebellar signs including intention tremors, dysmetria and dysdiadokokinesia. During evaluation for aetiology of cerebellar dysarthria, MRI brain revealed asymmetric altered signal intensities in bilateral cerebellar hemispheres and right side of pons suggesting demyelinating lesions. ELISA for Human Immune Deficiency virus-1 was positive. We kept a presumptive diagnosis of Progressive Multifocal Leukoencephalopathy (PML) on the basis of clinico-radiological picture. PML is an under investigated and under diagnosed CNS infection seen in HIV patients with advanced disease. We present an unusual case report where isolated cerebellar involvement occurred as the first AIDS defining event in the absence of appreciable immunodeficiency in a patient with previously undiagnosed HIV infection.

Kaposi sarcoma (KS) is a malignant proliferation of endothelial cells within the skin. The clinical presentation is characterized by clusters of violaceous macules and papules that often appear on the distal extremities or trunk with or without oral mucosal involvement. Mucocutaneous lesions are present at onset of diagnosis in a minority of cases. The lesions can evolve to include the mucous membranes of the gastric mucosa and the lungs. We present a unique case of KS in a 45-year-old, asymptomatic, human immunodeficiency virus (HIV)-positive man with mucocutaneous involvement to highlight the importance of recognizing KS in immunocompromised patients.

Limited data exist on the association between breast cancer treatments and coronary artery disease anatomy, particularly in males. We describe an unusual case of diffuse coronary ectasia in a man with breast cancer presenting with acute coronary syndrome (ACS). A 66-year-old man with breast cancer on paclitaxel, tamoxifen, and carboplatin chemotherapy regimen, presents with new onset chest pain. Electrocardiogram reveals anterolateral ST-segment depressions and elevated troponin I level. Emergent angiography revealed grossly ectatic coronary arteries with a total thrombotic occlusion of the mid right coronary artery. Serial intracoronary aspiration thrombectomy revealed fragments of red thrombus. Intracoronary tenectaplase was ultimately administered to restore perfusion. The patient clinically improved and warfarin was added to his cardiac regimen. Laboratory work up for connective tissue disease was negative. Although paclitaxel has been implicated in coronary artery neointima and media proliferation in the setting of drug-eluting stents, we believe our case is the first to describe massive coronary ectasia with significant thrombus burden requiring complex coronary intervention and thrombolysis in the setting of breast cancer therapy in a man. PMID:27843802

Addison's disease is a rare endocrine disorder that frequently presents with non-specific symptoms, but may deteriorate rapidly into life-threatening Addisonian crisis if left untreated. Diagnosis can be difficult in patients without a suggestive medical history. We describe a case of a 37-year-oldman who was admitted with acute kidney injury and hyperkalaemia, resistant to treatment with insulin/dextrose and calcium gluconate. On clinical examination, he was found to be hyperpigmented; a subsequent random serum cortisol of 49 nmol/L affirmed the preliminary diagnosis of Addison's disease. The patient's hyperkalaemia improved on treatment with hydrocortisone, and a follow-up morning adrenocorticotropic hormone of 1051 ng/L confirmed the diagnosis.

Russell-Silver syndrome (RSS) is a type of primordial dwarfism. Only one case of testicular cancer in RSS has been reported, the pathology of which was nonseminoma. Here, we report a case of seminoma in a 36-year-old man who was diagnosed with RSS at birth. The seminoma was diagnosed when the patient presented with testicular torsion. This is the first report of testicular seminoma in an RSS patient in the literature. We also discussed the correlation between seminoma and RSS. PMID:27034882

A 34-year-old manpresented to a hospital with a 7-day history of nausea, vertigo, ataxia and frontal headache. Examination revealed ipsilateral cerebellar signs. CT of the brain demonstrated left cerebellar hypodensity suggestive of ischaemic stroke or space occupying lesion. Full blood count showed a markedly raised haemoglobin (219 g/L) and haematocrit (0.56). Admission urinalysis was performed but the results not reviewed. Owing to patient deterioration, an arterial blood gas was performed. This showed profound metabolic acidosis. Repeat urinalysis was positive for glucose and ketones. MRI of the brain confirmed ischaemic stroke. The underlying cause of this was hyperviscosity secondary to relative polycythaemia, resulting from undiagnosed diabetic ketoacidosis as a first presentation of diabetes. This case report highlights ischaemic stroke as an unusual presenting feature of diabetic ketoacidosis. Notably, the underlying diagnosis of diabetic ketoacidosis was initially missed, thereby emphasising the importance of performing an admission urinalysis and acting on the results.

Acute intermittent porphyria, the most common porphyria affecting the nervous system, typically presents with neurovisceral crises followed by a motor neuropathy. We describe a 23-year-old black South African manpresenting with a progressive stuttering, lower motor neuron syndrome developing over months. He had not experienced pain or neuropsychiatric symptoms. One year after symptom onset he was bed-bound with a flaccid quadriparesis. There was marked amyotrophy, but without fasciculations. Sensation was intact apart from a hypo-aesthetic patch over the thigh. Electrophysiological investigations showed an active motor axonopathy. Urinary porphyrins, delta-aminolaevulinic acid and porphobilinogen were elevated. Mutation analysis revealed the c445C>T (R149X) mutation in the porphobilinogen deaminase gene. The patient responded dramatically to haem arginate and could walk with assistance 2 weeks later. We identified the first molecularly confirmed acute intermittent porphyria in a black South African. The clinical presentation mimicked a progressive lower motor neuron syndrome.

Patients with cat-scratch disease (CSD), which is caused by Bartonella henselae, typically present with local lymphadenopathy with a brief period of fever and general symptoms. Most cases are self-limiting and usually afflict children and young adults. Although rare, CSD can lead to serious complications, especially in immunocompromised patients. These rare complications often require intensive treatment. We describe the case of a 79-year-old man who presented with general malaise and a high fever. The physical examination findings were unremarkable. Of note, the lymph nodes were not enlarged. An abdominal CT scan with intravenous contrast revealed a solitary splenic abscess and no lymphadenopathy. The initial antibiotic treatment was ineffective and a splenectomy was indicated. A history of contact with cats raised the possibility of CSD, which was confirmed by a positive serology test result for B henselae. Antibiotic treatment with azithromycin successfully treated the splenic abscess and splenectomy was avoided. PMID:25804947

Patients with cat-scratch disease (CSD), which is caused by Bartonella henselae, typically present with local lymphadenopathy with a brief period of fever and general symptoms. Most cases are self-limiting and usually afflict children and young adults. Although rare, CSD can lead to serious complications, especially in immunocompromised patients. These rare complications often require intensive treatment. We describe the case of a 79-year-old man who presented with general malaise and a high fever. The physical examination findings were unremarkable. Of note, the lymph nodes were not enlarged. An abdominal CT scan with intravenous contrast revealed a solitary splenic abscess and no lymphadenopathy. The initial antibiotic treatment was ineffective and a splenectomy was indicated. A history of contact with cats raised the possibility of CSD, which was confirmed by a positive serology test result for B henselae. Antibiotic treatment with azithromycin successfully treated the splenic abscess and splenectomy was avoided.

A 29-year-old man with a history of oculocutaneous albinism presented to the ED complaining of progressive dyspnea on exertion. One month prior to admission, the patient had begun to experience worsening dyspnea provoked by routine household activities. Additionally, he had developed a nonproductive cough, exacerbated by cold weather. He denied associated chest pain, hemoptysis, fever, chills, or night sweats. He denied any new exposures or sick contacts in the recent past. A review of systems was significant for a history of epistaxis and frequent bruising. Born in Honduras, he had immigrated to the United States approximately 10 years prior to his presentation to our facility. Furthermore, there was no family history of albinism, bleeding disorders, or pulmonary disease.

A 37-year-oldman was hospitalized for an evaluation of acute bilateral multiple subcortical infarcts. There were no specific signal abnormalities in the temporal pole or external capsule. An abdominal skin biopsy showed granular, electron-dense, osmiophilic material (GOM) in the smooth muscle cells on electron microscopy. A direct sequencing analysis of NOTCH3 revealed a heterozygous c.986G>A substitution in exon 6, resulting in a Cys329Tyr amino acid replacement. According to these findings, the patient was diagnosed with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencehalopathy (CADASIL). Thus, early phases of CADASIL can present as acute bilateral multiple subcortical infarcts without a characteristic temporal pole or any external capsule lesions. PMID:27725551

A 37-year-oldman was hospitalized for an evaluation of acute bilateral multiple subcortical infarcts. There were no specific signal abnormalities in the temporal pole or external capsule. An abdominal skin biopsy showed granular, electron-dense, osmiophilic material (GOM) in the smooth muscle cells on electron microscopy. A direct sequencing analysis of NOTCH3 revealed a heterozygous c.986G>A substitution in exon 6, resulting in a Cys329Tyr amino acid replacement. According to these findings, the patient was diagnosed with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencehalopathy (CADASIL). Thus, early phases of CADASIL can present as acute bilateral multiple subcortical infarcts without a characteristic temporal pole or any external capsule lesions.

Systemic embolisation is common in patients with dilated cardiomyopathy. Microembolisation as a presenting sign of dilated cardiomyopathy, however, has not been reported before. A 37yearold woman in whom dilated cardiomyopathy presented as arterial microembolisation to the toes is described. Images PMID:2310647

We present the second case of paraparesis secondary to ossification of the ligamentum flavum at the midthoracic region in a black man. Ossification of the ligamentum flavum is frequently described in the Japanese population where the presentation is often in the lower thoracic region. The patient is a 37-year-old black man who, over the 6 months before admission, noticed progressive paraparesis. CT myelogram revealed severe thoracic stenosis by an ossified ligamentum flavum from T4 to T7 with most severe involvement at the T5, T6, and T7 levels. The patient underwent multilevel laminectomies and medial facetectomies from T4 to T7. Over the past decade, ossification of the ligamentum flavum has been reported with increasing frequency in non-Asian patients. This is the third case report in a black man. In addition, ossification of the ligamentum flavum in this particular location is rarely reported. The increased use of advanced neuroimaging techniques in the evaluation of "back pain" may reveal that the prevalence of this condition is higher than expected in non-Asian populations. Improvement in neurologic symptoms secondary to decompressive laminectomies will depend on the degree and duration of spinal cord compression.

Based on the research work of manned space medico-engineering at different stages of its development in China, the formation and development of the subject was summarized. The relations among the main fields of space medico-engineering, that is, depend on each other for existence, influence, co-operation and infiltration in the system, were discussed. Considering the ongoing tasks of manned space flight in China, directions and contents of research work of manned space medico-engineering were pointed out. And to make the ongoing tasks more successful, methods of development of the subject were put forward, namely, teaching, research and project should promote each other and develop together.

Background. Systemic lupus erythematosus (SLE) is a chronic, inflammatory, connective tissue disease that commonly affects the joints and a variety of organs due to an overactivation of the body's immune system. There is wide heterogeneity in presentation of SLE patients, including lung, central nervous system, skin, kidney, and hematologic manifestations. Case Presentation. We report a case of atypical manifestation of SLE in a 53-year-old man who presented with neutropenic fever. Physical findings of interest included oral ulcers on the lower lip, a malar-like rash across the bridge of the nose, and a discoid-like rash on extensor surfaces of the elbows and knees. Labs include ANC <100, weakly positive anti-dsDNA, negative ANA, ferritin 1237 ng/mL, low C3/C4, and positive direct Coombs' test. A thorough workup for infection and hematologic malignancy was negative. Two days after initiation of therapy with 25 mg IV solumedrol twice a day, the patient's daily fevers resolved. ANC drastically improved to 2000 after two weeks of steroid treatment. He was later found to have a high titer of anti-neutrophil antibodies. Discussion. Autoimmune leukopenia is a common presentation in SLE, occurring in 50–60% of patients. Severe autoimmune neutropenia is uncommon and may correlate with high anti-neutrophil antibody activity despite a negative ANA. As neutropenia is usually mild, there are currently no guidelines for therapy. For our patient, we started him on low dose IV solumedrol and found that he responded drastically to treatment. Given strongly positive nonspecific anti-neutrophil antibodies in the setting of a negative ANA noted in our patient, it is likely that there are other currently unknown antibodies associated with SLE which may correlate strongly with autoimmune neutropenia. PMID:28077945

Background. Systemic lupus erythematosus (SLE) is a chronic, inflammatory, connective tissue disease that commonly affects the joints and a variety of organs due to an overactivation of the body's immune system. There is wide heterogeneity in presentation of SLE patients, including lung, central nervous system, skin, kidney, and hematologic manifestations. Case Presentation. We report a case of atypical manifestation of SLE in a 53-year-old man who presented with neutropenic fever. Physical findings of interest included oral ulcers on the lower lip, a malar-like rash across the bridge of the nose, and a discoid-like rash on extensor surfaces of the elbows and knees. Labs include ANC <100, weakly positive anti-dsDNA, negative ANA, ferritin 1237 ng/mL, low C3/C4, and positive direct Coombs' test. A thorough workup for infection and hematologic malignancy was negative. Two days after initiation of therapy with 25 mg IV solumedrol twice a day, the patient's daily fevers resolved. ANC drastically improved to 2000 after two weeks of steroid treatment. He was later found to have a high titer of anti-neutrophil antibodies. Discussion. Autoimmune leukopenia is a common presentation in SLE, occurring in 50-60% of patients. Severe autoimmune neutropenia is uncommon and may correlate with high anti-neutrophil antibody activity despite a negative ANA. As neutropenia is usually mild, there are currently no guidelines for therapy. For our patient, we started him on low dose IV solumedrol and found that he responded drastically to treatment. Given strongly positive nonspecific anti-neutrophil antibodies in the setting of a negative ANA noted in our patient, it is likely that there are other currently unknown antibodies associated with SLE which may correlate strongly with autoimmune neutropenia.

Giant prostatic hyperplasia is a rare condition characterized by very high volume benign prostatic enlargement (>500g). Few cases have been reported so far and most of them are associated with severe lower urinary symptoms. We report the first case of asymptomatic giant prostatic hyperplasia in an elderly man who had a 720g prostate adenoma, sudden gross hematuria and hypovolemic shock. The patient was successfully treated with open transvesical prostatectomy and had an uneventful postoperative recovery.

Giant prostatic hyperplasia is a rare condition characterized by very high volume benign prostatic enlargement (>500g). Few cases have been reported so far and most of them are associated with severe lower urinary symptoms. We report the first case of asymptomatic giant prostatic hyperplasia in an elderly man who had a 720g prostate adenoma, sudden gross hematuria and hypovolemic shock. The patient was successfully treated with open transvesical prostatectomy and had an uneventful postoperative recovery. PMID:26132361

The authors describe a case of aneurysmal subarachnoid haemorrhage in a 53-year-old man with background of osteogenesis imperfecta (OI). CT brain revealed diffuse subarachnoid haemorrhage (SAH) and cerebral angiogram subsequently confirmed vertebral artery aneurysm rupture leading to SAH. To the authors knowledge this is the first case of vertebral artery aneurysmal SAH described in OI. A previously undiagnosed OI was confirmed by genetic analysis (COL1A1 gene mutation). This aneurysm was successfully treated by endovascular route. Post interventional treatment patient developed stroke secondary to vasospasm. Communicating hydrocephalus, which developed in the process of management, was successfully treated with ventriculo-peritoneal shunt. The aetio-pathogenesis and management of this condition is described. The authors have reviewed the literature and genetic basis of this disease. PMID:22674700

We report a case of a chronic infiltrate of the intestinal wall of the transverse colon by the eggs of Enterobius vermicularis in a man who had immigrated to Taiwan from mainland China 50 years ago. During surgery for suspected transverse colon carcinoma, histologic examination of the tumor mass revealed eggs of E. vermicularis embedded in granulation tissue in the submucosa of the transverse colon. Results of a stool examination were negative for eggs but strongly positive for occult blood. The mass in the transverse colon was completely removed during surgery. At the present time, the patient remains asymptomatic.

We report a case of apparent malaria infection presented with a syndrome of painless, generalized lymphadenopathy without granulomas shortly after exposure to fresh water in rural West Africa. Residual infection with Massilia timonae was diagnosed and successfully treated with co-trimoxazole. PMID:21525215

We report a case of apparent malaria infection presented with a syndrome of painless, generalized lymphadenopathy without granulomas shortly after exposure to fresh water in rural West Africa. Residual infection with Massilia timonae was diagnosed and successfully treated with co-trimoxazole.

Background Primary squamous cell carcinomas of the colorectum are very uncommon. Until now, to the best of our knowledge, only 114 cases of squamous cell carcinoma in the colorectum exist in the reported literature. Here we report a case of squamous cell carcinoma of the rectum in the ethnic Kashmiri population in northern India. Case Presentation The case of a 60-year-old male patient (Asian) with a pure squamous cell carcinoma of the rectum is presented here. The patient underwent a curative surgery with concomitant chemotherapy. Two years after the initial curative resection of the tumor he is still alive. Conclusion The prognosis for squamous cell carcinoma of the colorectum is worse than for that of adenocarcinoma, because of the delayed diagnosis. The etiopathogenicity of squamous cell carcinoma of the colorectum is discussed. Surgical resection of the lesion seems to be the treatment of choice. Chemotherapy also helps in improvement of the prognosis. PMID:21118539

We present the case of a non-alcoholic man, who, following severe malnutrition, presented with dysphagia that necessitated gastrostomy tube placement. The patient subsequently developed encephalopathy, at which point thiamine deficiency was suspected and thiamine supplementation initiated. The encephalopathy and the dysphagia resolved, but the patient was left with a dense amnestic deficit consistent with Korsakoff syndrome. MRI at the time of the encephalopathy revealed lesions consistent with Wernicke-Korsakoff syndrome. This case represents a remarkable example of Wernicke-Korsakoff syndrome that for a prolonged time period had as its sole manifestation severe dysphagia. To our knowledge, there is only one similar case reported in the literature. This case serves to alert neurologists that isolated dysphagia may be the presenting symptom of this classic neurological syndrome even in the absence of alcoholism.

Hereditary haemochromatosis is a multisystem disorder of iron metabolism. Hepatic manifestations include hepatomegaly, cirrhosis and hepatocellular carcinoma. Hepatocellular carcinoma is almost always preceded by cirrhosis. We present a case of an 83-year-old man without history of liver disease or iron overload who presented with abdominal pain. Workup revealed mildly elevated transaminases, ferritin of 3996 and a solitary liver tumour. Biopsy was consistent with hepatocellular carcinoma in a background of haemosiderosis without cirrhosis. He was diagnosed with hereditary haemochromatosis and hepatocellular carcinoma. He underwent a partial hepatectomy and was started on routine phlebotomy and surveillance imaging. He has improved and has not had signs of recurrence or new complications of haemochromatosis. We suggest a possible reason for his unique and late presentation.

Schwannomas are slow-growing tumors with symptoms manifesting progressively. We report the case of a patient who manifested a sudden loss of consciousness as clinical presentation of an intracranial schwannoma with no acute hemorrhage or hydrocephalus. A 30-year-old male presented comatose and posturing. Cerebral CT revealed an extra-axial lesion with a heterogeneous enhancement and a cystic component located on the right cerebellopontine angle (CPA), displacing the brain stem. No acute hemorrhage or hydrocephalus was documented. Through a retrosigmoid suboccipital craniotomy, an extended subtotal tumor resection was performed. The patient experienced no functional hearing impairment and resumed his daily-life activities 3 months after surgery. Histopathological examination was compatible with a benign schwannoma. An exuberant lymphoplasmacytic infiltrate was found in many areas, signing the presence of an unusual inflammatory reaction with adjacent important intratumoral edema. We propose that the exuberant inflammatory infiltrate and the associated intratumoral edema acted as determining elements in the increase of mass effect and sudden clinical deterioration.

A 30-year-old man attended the emergency department with a 4-day history of progressive, bilateral upper limb weakness. He had mild shortness of breath and occasional swallowing difficulties. One month prior to presentation, he had flu-like symptoms and diarrhoea. Examination revealed upper limb hypotonia, symmetrical distal arm weakness and hyporeflexia. Power and reflexes in the lower limbs were normal. Nerve conduction studies and lumbar puncture demonstrated features consistent with Guillain-Barré syndrome (GBS). The patient was treated with a 5-day course of intravenous immunoglobulins. He improved significantly over the next 2 weeks. Breathing and swallow function did not deteriorate and required no further intervention. He had a sustained improvement, and remained at baseline 1 year later. Work-up for underlying structural, infectious, inflammatory and paraneoplastic aetiologies were negative. Serum antiganglioside antibodies were positive for the anti-GT1a IgG isotype supporting the clinical diagnosis of the pharyngeal-cervical-brachial variant of GBS.

We are reporting a case of familial thoracic aortic aneurysm and dissection in a 26-year-old man with no significant past medical history and a family history of dissecting aortic aneurysm in his mother at the age of 40. The patient presented with cough, shortness of breath, and chest pain. Chest X-ray showed bilateral pulmonary infiltrates. CT scan of the chest showed a dissection of the ascending aorta. The patient underwent aortic dissection repair and three months later he returned to our hospital with new complaints of back pain. CT angiography showed a new aortic dissection extending from the left carotid artery through the bifurcation and into the iliac arteries. The patient underwent replacement of the aortic root, ascending aorta, total aortic arch, and aortic valve. The patient recovered well postoperatively. Genetic studies of the patient and his children revealed no mutations in ACTA2, TGFBR1, TGFBR2, TGFB2, MYH11, MYLK, SMAD3, or FBN1. This case report focuses on a patient with familial TAAD and discusses the associated genetic loci and available screening methods. It is important to recognize potential cases of familial TAAD and understand the available screening methods since early diagnosis allows appropriate management of risk factors and treatment when necessary. PMID:25104961

Prolonged bisphosphonate use has been associated with increased risk of atypical femoral fractures. Very few cases of atypical femoral fractures have been reported with denosumab. We report a case of bilateral tibial stress reactions in a 60-year-old man with no history of osteoporosis who was on prolonged high-dose denosumab for the treatment of giant cell tumor of bone. He presented with a 3-month history of pain in his bilateral shins worsening with activity and improving with rest. Although initial radiographs were unremarkable, he was found to have changes consistent with a stress reaction on magnetic resonance imaging of the distal tibia. To our knowledge, bilateral tibial stress reactions have not been previously reported with anti-resorptive therapies (neither bisphosphonates nor denosumab). Our case is intriguing in terms of the development of stress reactions as a precursor to stress fractures which may also relate to atypical fractures. Our case suggests a possible association between denosumab use and stress reactions. Of note the indication for denosumab in our case was for the treatment of giant cell tumor of bone where the Food and Drug Administration (FDA) approved dose is substantially higher than the FDA approved dose for osteoporosis treatment. Although rare, clinicians should consider the possibility of stress fractures in patients on anti-resorptive medications such as denosumab, especially when a patient presents with new onset thigh pain, hip pain or pain over an area affecting the long bones. Evaluation by imaging of affected areas should be pursued to enable early detection and intervention, as well as prevention of morbidity and associated ongoing risk to the patient.

A case of young man with low back ache and heel pains who was examined in a rheumatology outpatient and diagnosed as familial hypophosphatemia (FH), probably X-linked (XL), is presented. FH is most commonly transmitted as XL. The role of PHEX gene and fibroblast growth factor 23 is also described.

Renal transplant patients are at high risk of developing various infections causing morbidity and mortality. Invasive fungal infection has been recognized as a significant complication of organ transplantation. The major fungal infections in these patients are due to candida, aspergillus and mucormycosis. However, infection because of infrequently encountered fungi like hyaline molds, dematiaceous filamentous fungi and zygomycetes are increasing in immunocompromised hosts. Dematiaceous fungi are recognized pathogens in organ transplant recipients with skin and soft tissue infection. We report the case of a 37-year-oldman, a renal transplant recipient who developed an asymptomatic dematiaceous fungal infection in submandibular salivary gland. He recovered after excision and antifungal therapy. PMID:27656452

The objectives, major missions, outlines of the systems, system structures, system configurations of the manned lunar surface site, and manned lunar transportation system are presented. Environmental Control and Life Support System (ECLSS), pressurized environment conditions, and operation schedule of manned lunar surface site are also outlined. This report is represented in viewgraphs only.

Lymphangioleiomyomatosis (LAM) is an uncommon progressive disease characterized by a hamartomatous tumor-like proliferation of smooth muscle cells that occurs most often in women. This disease commonly involves the lymph nodes, lungs, and mediastinum, and rarely the abdominal sites. We report a case of mesenteric LAM occurring in a 37-year-oldman affected by Klinefelter syndrome with a 17-year history of androgen replacement therapy. Histology revealed a hamartomatous proliferation of spindle cells surrounding multiple ectatic lymphatic spaces intermixed with lymphatic follicles. When subjected to immunohistochemical studies, the tumor cells stained positive for muscular markers and negative for estrogen, progesterone, and androgen receptors. The occurrence of LAM in association with Klinefelter syndrome has never been reported in the literature and could represent a further clue in the still unclear pathogenesis of this disease.

Gallstone ileus is an uncommon cause of small bowel obstruction and is rarely suspected preoperatively. Patients are usually elderly and present with features of small bowel obstruction. Commonest site of impaction of the gallstone is the terminal ileum. We report a case of gallstone ileus in a 37-year-old female who presented with vomiting and anuria, and without any symptoms of intestinal obstruction. Intraoperatively the gallstone was found impacted at the duodeno-jejunal flexure. Impaction of gallstone at the duodeno-jejunal flexure is yet to be reported in literature.

Schwannomas of the brachial plexus are rare and typically present as slowly growing masses. We describe a case of a 37-year-old female who presented with acute onset of severe left upper extremity pain. Magnetic resonance imaging (MRI) showed a 2.3 × 2.1 cm peripherally enhancing centrally cystic lesion in the left axilla, along the cords of the left brachial plexus, with significant surrounding edema and enhancement. The mass was surgically removed. Pathology was consistent with a schwannoma with infarction. The pain completely resolved immediately after surgery.

Acute myocardial infarction (AMI) is usually seen in the setting of atherosclerosis and its associated risk factors. Myocardial infarction in the young poses a particular challenge, as the disease is less likely, due to atherosclerosis. We report the case of a 37-year-old female patient who presented with ST segment elevation anterolateral AMI. The only abnormality on routine blood investigation was raised hemoglobin and hematocrit. After further testing, she was diagnosed according to the World Health Organization (WHO) criteria with polycythemia vera. This case illustrates the importance of recognizing polycythemia vera as an important cause of thrombosis, which can present initially as AMI, and to emphasize the early recognition of the disease in order to initiate appropriate management strategies. PMID:25544823

We describe the case of a 23-year-old manpresenting with recurrent pleuritic chest pain and prolonged fever after electrophysiology testing and placement of an implantable cardioverter-defibrillator because of a suspected arrhythmogenic right ventricular dysplasia. The clinical suspicion was initially directed toward pneumonia with pleural effusion and later toward an infection of the cardiac device complicated by septic pulmonary embolism. The definitive diagnosis of pulmonary embolism and infarction was suggested by a point-of-care thoracic sonography, performed at the bedside by a clinician caring for the patient, and then confirmed by contrast enhanced computed tomography, which also showed thrombosis of the left iliofemoral vein, site of percutaneous puncture for cardiac catheterization. Prolonged fever was attributable to a concomitant Epstein-Barr virus primary infection that acted as confounding factor. The present report confirms the value of bedside thoracic sonography in the diagnostic evaluation of patients with nonspecific respiratory symptoms. PMID:26576159

We describe the case of a 23-year-old manpresenting with recurrent pleuritic chest pain and prolonged fever after electrophysiology testing and placement of an implantable cardioverter-defibrillator because of a suspected arrhythmogenic right ventricular dysplasia. The clinical suspicion was initially directed toward pneumonia with pleural effusion and later toward an infection of the cardiac device complicated by septic pulmonary embolism. The definitive diagnosis of pulmonary embolism and infarction was suggested by a point-of-care thoracic sonography, performed at the bedside by a clinician caring for the patient, and then confirmed by contrast enhanced computed tomography, which also showed thrombosis of the left iliofemoral vein, site of percutaneous puncture for cardiac catheterization. Prolonged fever was attributable to a concomitant Epstein-Barr virus primary infection that acted as confounding factor. The present report confirms the value of bedside thoracic sonography in the diagnostic evaluation of patients with nonspecific respiratory symptoms.

The many problems presented by the nature of man and in studying man are the focus of this paper which attempts to place these problems in perspective in terms of the past and future. The enigma facing man, that man must study man, is related in an introduction. Freud's, Adler's, and Jung's developments in the study of the nature of man are…

Viewgraphs on man-systems integration and the man-machine interface are presented. Man-systems integration applies the systems' approach to the integration of the user and the machine to form an effective, symbiotic Man-Machine System (MMS). A MMS is a combination of one or more human beings and one or more physical components that are integrated through the common purpose of achieving some objective. The human operator interacts with the system through the Man-Machine Interface (MMI).

Presents a viewpoint that the civilized man, the humane man, accepts not only the humane ethic but also the conservationist's philosophy and the environmentalist's point of view because all these views are overlapping, interlocking and essential to a better and more civilized world. (BR)

Neuroleptic malignant syndrome (NMS) is a rare clinical condition and potentially life-threatening complication of antipsychotic medications. We report a patient with an atypical presentation of NMS. A 60-year-old man with schizophrenia was admitted to our hospital with disturbed consciousness, fever and marked extrapyramidal rigidity both in the upper and lower extremities. He had been given i.m. zuclopenthixol 200 mg/month but had not taken the last dose. Laboratory investigations showed that creatinine phosphokinase 428 IU/l (normal up to 130), lactate dehydrogenase 772 IU/l (normal up to 450), blood glucose 256 mg/dl (65-110). Urine analyses revealed ketonuria. White blood cell (WBC) count was 6100 cells/mm(3). Therefore, the patient was diagnosed as having NMS and antipsychotic medications were stopped. Adequate hydration was provided and bromocryptine 5 mg was started three times a day. Despite treatment, the patient died due to acute myocardial infarction after 3 days of hospitalization.

Introduction Campylobacter is an important causative agent of intestinal infections in humans. Bacteremia is detected in less than 1% of patients, mainly in immunocompromised patients and in extreme age groups. Cellulitis is a relatively common manifestation of Campylobacter infection, but concomitant bacteremia is a rare event. Infections of the pacemaker area are caused primarily by staphylococci, followed by fungi, streptococci and Gram-negative rods. To the best of our knowledge, this is the first case report of pacemaker pocket infection and bacteremia caused by Campylobacter fetus. Case presentation A 72-year-old Croatian Caucasian man with myelodysplasia, impaired fasting glucose levels and a recently implanted permanent pacemaker was admitted to hospital after six days of fever, development of red swelling of the pacemaker pocket area and worsening of his general condition. No antibiotic therapy was introduced in the outpatient setting. He denied any recent gastrointestinal disturbances. With the exception of an elevated leukocyte count, erythrocyte sedimentation rate, and C-reactive protein and blood glucose levels, other laboratory findings were normal. Treatment with vancomycin plus netilmicin was introduced, and a surgical incision with drainage of the pacemaker pocket was performed. The entire pacemaker system was removed and a new one re-implanted after 14 days of antibiotic therapy. Transesophageal echocardiography showed no pathological findings. Three subsequent blood cultures obtained on admission as well as swab culture of the incised pacemaker area revealed Campylobacter fetus; stool and pacemaker lead cultures were negative. According to the microbiological results, antibiotic therapy was changed to ciprofloxacin plus netilmicin. A clinical examination and the results of a laboratory analysis performed after two weeks of therapy were within normal limits. Conclusion Myelodysplasia, impaired fasting glucose levels and older age could be

An overview of the conceptual design of manned engineering satellites is presented. The mission scenarios for developing manned engineering satellites involve: (1) selecting mission equipment to enable preferential development and validation of mandatory technologies among those for Environmental Control and Life Support System (ECLSS); (2) selecting mission equipment to enable development and validation of independent domestic technologies as well as utilizing to the utmost the manned space technology acquired through the Japanese Experimental Module (JEM); and (3) installing the most effective mission on the basis of relationships with Extravehicular Activity (EVA), robot, and retrieval-type spacecraft technologies, and trends of overseas manned space technology. The results of reviews on the system and subsystems, such as attitude and orbit control, structure, thermal control, electric power, communication, and data processing subsystems are outlined. The results of reviews on the structure, weight, and reentry phase operation are presented.

In the 1950s and 1960s, Wernher von Braun was famous as the man who led the West's journey into space. Some also remember him as the German engineer who developed the V-2 missile that bombarded Antwerp and London at the end of the Second World War. However, many still celebrate Von Braun, who died in 1977, as the man who put the astronauts on the Moon. While this is not strictly true, there is no doubt that Von Braun was one of the most influential engineers, lobbyists and personalities in the Moon-landing project.

Written in 1964, the document represents experimental material of the Anthropology Curriculum Study Project. The objectives of the project were to discuss the evolution of man as distinguished from the evolution of other species and as related to culture, and to emphasize human diversity. Three brief essays are presented. The first, "The…

Samuel George Morton (1799-1851) was the most highly regarded American scientist of the early and middle 19th century. Thanks largely to Stephen Jay Gould's book The Mismeasure of Man, Morton's cranial capacity measurements of different races is now held up as a prime example of and cautionary tale against scientific racism. A team of anthropologists recently reevaluated Morton's work and argued that it was Gould, not Morton, who was biased in his analysis. This article is a reexamination of the Morton and Gould controversy. It argues that most of Gould's arguments against Morton are sound. Although Gould made some errors and overstated his case in a number of places, he provided prima facia evidence, as yet unrefuted, that Morton did indeed mismeasure his skulls in ways that conformed to 19th century racial biases. Gould's critique of Morton ought to remain as an illustration of implicit bias in science.

Observations made by ancient man are of great interest to present day astronomers. Drawings made by neolithic man in caves show a surprising sense of perspective. The discoveries in the Fern Grotto in California are of special interest. Photographs of cave drawings are included.

The sixth level of the social studies curriculum (Fairfax County Public Schools, Virginia), "Man in a Changing World," is designed to maintain a balance between the study of concepts and the development of inquiry skills. Emphasis is given to the role of individual man in several social settings, past and present, Western and non-Western. The…

Studies evaluating potential operational and commercial uses of space are being conducted, taking into account astronomy, astrophysics, manned bases and laboratories in earth orbit, space colonization, terrestrial communications, space processing and manufacturing, interstellar probes, planetary exploration, and the use of space for terrestrial energy supply. The present status in the exploration of the solar system is examined, giving attention to Jupiter, Venus, Mars, and Mercury. A brief outline of the development of human colonies on Mars is presented.

With an increasing pandemic of HIV/AIDS, the incidence of HIV-associated lymphoma is expected to rise. Here, the authors report a case of a 41-year-old man who presented with right upper quadrant pain and mass, and was subsequently diagnosed with HIV-associated diffuse large B cell lymphoma (DLBCL) with cardiac involvement. This case illustrates some of the uncommon and interesting aspects of DLBCL: primary extramedullary extranodal stage IV disease as the presenting feature; cardiac involvement at presentation; DLBCL as the only clue to the diagnosis of HIV; and management of HIV-associated DLBCL. This case is also a reminder of the importance of the routine HIV screening for all patients between the ages of 13-64 years, as advocated by centres of disease control and prevention.

Cnidarian envenomations are common occurrences in the tropics that can affect holidaymakers. The cutaneous reactions are classified as immediate or delayed types. Delayed allergic reactions are persistently recurring dermatitis, which can occur within 1-4 weeks from the initial sting, and may last for several months. Hypertrophic scar-like or keloid-like reactions are rare, and are believed to be a type IV hypersensitivity reaction to sequestered antigens from stinging filaments. We report an unusual case of delayed allergic dermatitis with keloid-like presentation caused by Physalia utriculus.

Fungal osteomyelitis is a rare opportunistic infection. It exhibits some clinical and radiological similarities to several other bone pathologies. A diagnostic delay may result in significant increase in morbidity. We report a case of a 37-year-oldman with underlying hypogammaglobulinaemia presented with isolated cryptococcal osteomyelitis of the femur.

Aortic regurgitation is a rare and serious presentation of Behçet's disease. Here we describe a case of missed diagnosis of Behçet's disease in a 37-year-oldman, causing symptomatic aortic regurgitation. Perioperative diagnosis of Behçet's aortitis is crucial because surgical intervention carries high reoperative morbidity and mortality.

Glucose phosphate isomerase (GPI, glucose 6-phosphate ketol-isomerase, EC 5.3.1.9) is a housekeeping gene expressed in all tissues and organisms that utilize glycolysis and gluconeogenesis. Deficiency in humans leads to a rare form of nonspherocytic hemolytic anemia. The authors have isolated a 3.2-kb mouse cDNA containing glucose phosphate isomerase coding sequence and a 2.1-kb intronic sequence and a large proportion of the human gene (approaching 55 kb) in four phage [lambda] recombinants. A 4-kb intronic fragment from the human gene showing homology to the mouse intronic sequence has been isolated and sequenced. The fragment contains approximately 1.5 kb of sequence that is composited of 30 repeat units of a novel 50-kb tandemly repeated unit. The mouse intronic sequence contains 18 similar units. The human consensus sequence differs from the mouse consensus sequence at only 7 positions out of 50 (positions 16, 26, 27, 42, 43, 47, and 48). A probe containing the repeat element detects polymorphisms, specific to glucose phosphate isomerase, in human DNA. The repeat element does not appear to be present at any other loci in human DNA. The conservation of this intronic repeat element extends to pig and Chinese hamster. 26 refs., 4 figs.

Review of experience obtained from space flight to evaluate man's physiological capability to function in space. Results of the Mercury, Gemini, and Apollo programs are presented, with emphasis on the latter. The space medicine requirements which were necessary for assuring man's safe journey into and return from space have resulted in hardware and techniques of great value to terrestrial medicine. The need to monitor the physiologic function of crewmen led to the development of miniaturized, nonirritating, and highly reliable sensors.

The potential costs of several options of a manned Mars mission are examined. A cost estimating methodology based primarily on existing Marshall Space Flight Center (MSFC) parametric cost models is summarized. These models include the MSFC Space Station Cost Model and the MSFC Launch Vehicle Cost Model as well as other modes and techniques. The ground rules and assumptions of the cost estimating methodology are discussed and cost estimates presented for six potential mission options which were studied. The estimated manned Mars mission costs are compared to the cost of the somewhat analogous Apollo Program cost after normalizing the Apollo cost to the environment and ground rules of the manned Mars missions. It is concluded that a manned Mars mission, as currently defined, could be accomplished for under $30 billion in 1985 dollars excluding launch vehicle development and mission operations.

Although idiopathic hypereosinophilic syndrome(IHES) commonly involves the lung, it is rarely associated with acute respiratory distress syndrome (ARDS). Here we describe a case of IHES presented in conjunction with ARDS. A 37-year-old male visited the emergency department at Samsung Medical Center, Seoul, Korea, with a chief complaint of dyspnea. Blood tests showed profound peripheral eosinophilia and thrombocytopenia. Patchy areas of consolidation with ground-glass opacity were noticed in both lower lung zones on chest radiography. Rapid progression of dyspnea and hypoxia despite supplement of oxygen necessitated the use of mechanical ventilation. Eosinophilic airway inflammation was subsequently confirmed by bronchoalveolar lavage, leading to a diagnosis of IHES. High-dose corticosteroids were administered, resulting in a dramatic clinical response. PMID:24404401

Acanthamoeba keratitis is a rare cause of corneal infection in Taiwan, which can result in devastating visual outcomes. A 37-year-old woman, who wore soft contact lenses, suffered from severe pain in her left eye. Biomicroscopy revealed dendritic keratitis, radial keratoneuritis, and fine keratic precipitates on her cornea. Culture, using non-nutrient agar plate seeded with Escherichia coli, resulted in heavy growth of Acanthamoeba. The inpatient treatment, including topical neomycin-polymyxin B and metronidazole (0.5%) eyedrops, oral ketoconazole, and then oral prednisolone, successfully controlled the corneal infection. The best-corrected visual acuity was 0.9 without any evidence of recurrence of infection after 21 months of follow up. Acanthamoeba keratitis can present as dendritic keratitis, which mimics herpes simplex infection, thus, delays appropriate treatment. Early diagnosis and judicious treatment are essential for restoring the vision and avoiding the subsequent need of penetrating keratoplasty.

Dural-based brain tumours, apart from meningiomas, are rare. Epstein-Barr virus (EBV)-associated smooth muscle tumor (SMT) is a documented but rare disease that occurs in immunocompromized patients. These tumours may be located at unusual sites including the brain. We present a 37-year-old patient, positive for the human immunodeficiency virus (HIV), who was admitted after generalized tonic-clonic seizures. MRI and CT scan revealed a dural-based brain tumour, intraoperatively thought to be a meningioma, but with an eventual histological diagnosis of EBV-SMT. Clinically the patient was well postoperatively with a Glasgow coma scale score of 15/15 and no focal neurologic deficit. This case confirms the association between EBV and SMT in patients with HIV/acquired immunodeficiency syndrome (AIDS). It also highlights the need to include EBV-SMT in the differential diagnosis of intracranial mass lesions in patients with HIV/AIDS.

Subungual exostoses and hyperostoses of the great toenail are a differential diagnosis of nail tumors. We present 3 cases of subungual exostosis/hyperostosis with secondary nail dystrophy: a 36- and a 37-year-old woman as well as an 8-year-old boy. Two of the 3 patients suffered from pain. The 2 female patients presented with the classic dorsolateral firm protrusion, while the child presented with bilateral nail dystrophy with lateral wall hypertrophy. In this later case, a bony ridge was identified, which is an unusual subungual, nonprotruding type of exostosis. The hypertrophic lateral walls were removed by the Vandenbos technique. In the 2 former cases, complete excision of the bony lesions was performed with a proximal block. Healing by second intention was uneventful. PMID:27386469

A viable power system technology for a surface transportation vehicle to explore the planet Mars is presented. A number of power traction systems were investigated, and it was found that a regenerative hydrogen-oxygen fuel cell appears to be attractive for a manned Mars rover application. Mission requirements were obtained from the Manned Mars Mission Working Group. Power systems weights, power, and reactants requirements were determined as a function of vehicle weights for vehicles weighing from 6,000 to 16,000 lb (2,722 to 7,257 kg), (Earth weight). The vehicle performance requirements were: velocity, 10 km/hr; range, 100 km; slope climbing capability, 30 deg uphill for 50 km; mission duration, 5 days; and crew, 5. Power requirements for the operation of scientific equipment and support system capabilities were also specified and included in this study. The concept developed here would also be applicable to a Lunar based vehicle for Lunar exploration. The reduced gravity on the Lunar surface, (over that on the Martian surface), would result in an increased range or capability over that of the Mars vehicle since many of the power and energy requirements for the vehicle are gravity dependent.

A viable power system technology for a surface transportation vehicle to explore the planet Mars is presented. A number of power traction systems were investigated, and it was found that a regenerative hydrogen-oxygen fuel cell appears to be attractive for a manned Mars rover application. Mission requirements were obtained from the Manned Mars Mission Working Group. Power systems weights, power, and reactants requirements were determined as a function of vehicle weights for vehicles weighing from 6,000 to 16,000 lb (2,722 to 7,257 kg), (Earth weight). The vehicle performance requirements were: velocity, 10 km/hr; range, 100 km; slope climbing capability, 30 deg uphill for 50 km; mission duration, 5 days; and crew, 5. Power requirements for the operation of scientific equipment and support system capabilities were also specified and included in this study. The concept developed here would also be applicable to a Lunar based vehicle for Lunar exploration. The reduced gravity on the Lunar surface, (over that on the Martian surface), would result in an increased range or capability over that of the Mars vehicle since many of the power and energy requirements for the vehicle are gravity dependent.

Patients with medulloblastoma uncommonly develop extracerebral metastases. We describe an adult patient with the unusual occurrence of intraperitoneal metastases associated with a ventriculoperitoneal (VP) shunt, as well as her subsequent treatment with high-dose chemotherapy and bone marrow transplantation. We review the literature regarding this rare presentation and association of metastatic spread via VP shunt devices. A 37-year-old woman presented with a rapidly enlarging pelvic mass. She had a history of medulloblastoma and had been treated with a combination of surgery, chemotherapy, and radiation 5 years previously, at which time a VP shunt had been placed for cerebrospinal fluid leakage. At laparotomy, she had unresectable intraperitoneal metastatic medulloblastoma. After an excellent response to cyclophosphamide, etoposide, and cisplatin, she underwent a resection of residual disease, followed by high-dose chemotherapy and a bone marrow transplant. We conclude that adult onset medulloblastoma with metastasis to the peritoneal cavity is rare and may be associated with a VP shunt.

The insects discussed in this document are those which have a direct effect upon humans either through a permanent association, as with lice, or a temporary association in the case of flies, bees, wasps, and spiders. In each case, life cycles and identifying characteristics are presented with remarks about the specific effect incurred by man. (CS)

The general theme of this 1968 yearbook is that man is a threatened species, facing overpopulation and unbridled technology - both self induced. The presentation is broad, relating to many aspects of conservation and natural resources in the United States in a descriptive, non-technical style. The yearbook is divided into major topics: Land…

Adenosarcoma of the uterine body is a rare mixed tumor in which a benign epithelial component is mixed with a malignant stromal element. It has been considered that this tumor originates from the endometrium and its most common finding of imaging is a polypoid tumor occupying the uterine cavity. The authors herein present a case of 37-year-old female with a complaint of abnormal vaginal bleeding. At the first visit, transvaginal ultrasound and magnetic resonance imaging (MRI) showed a round mass with a diameter of one cm in the uterine wall. No malignant pathological finding was detected. The patient visited the authors again one year later, because of continuous bleeding. At that time, they found a polypoid tumor in the uterine cavity, which turned out to be adenosarcoma with sarcomatous overgrowth. The round mass in the uterus detected at first time seems to have been incipience of adenosarcoma. Prodromal sign of adenosarcoma has not been reported previously.

National Academy of Sciences, National Research Council, Washington, DC. Div. of Earth Sciences.

Presented are the results of two years of inquiry by the Committee on Resources and Man established by the National Academy of Sciences. Chapters 1 and 2 pose the problem: since resources are finite, as population increases the ratio of resources to man must eventually fall to an unacceptable level. Chapter 3 considers the possibility of evading…

The authors present a picture of contemporary man torn by conflicting forces, caught in a psychic house divided against itself, a victim of war between media and machines. Machines, they state, represent the rationalistic tradition which has brought man to the brink of psychic and social disaster. The media they see as offering hope--true…

The Jolly Green Giant. Robin Hood. The Bamberg Cathedral. Tales of King Arthur. Ecology. What do they have in common? What legends and ancient myths are shrouded in the tales of the Green Man? Most often perceived as an ancient Celtic symbol as the god of spring and summer, the Green Man disappears and returns year after year, century after…

Man's ability to live and perform useful work in space was demonstrated throughout the history of manned space flight. Current planning envisions a multi-functional space station. Man's unique abilities to respond to the unforeseen and to operate at a level of complexity exceeding any reasonable amount of previous planning distinguish him from present day machines. His limitations, however, include his inherent inability to survive without protection, his limited strength, and his propensity to make mistakes when performing repetitive and monotonous tasks. By contrast, an automated system does routine and delicate tasks, exerts force smoothly and precisely, stores, and recalls large amounts of data, and performs deductive reasoning while maintaining a relative insensitivity to the environment. The establishment of a permanent presence of man in space demands that man and machines be appropriately combined in spaceborne systems. To achieve this optimal combination, research is needed in such diverse fields as artificial intelligence, robotics, behavioral psychology, economics, and human factors engineering.

"The Man Hunters" is a film about paleoanthropology. This article is a personal account of how the film was put together using anthropological knowledge and numerous anthropologists and how the film was received by the American public. (Author)

Fewer than 20 patients with lymphocytic adenohypophysitis have been reported, all of them women, and it usually occurs during pregnancy or the postpartum period. We report the recognition of lymphocytic adenohypophysitis in a man. The patient presented with anterior hypopituitarism and an intrasellar mass on computed tomography. Antipituitary antibodies, found in only one of the previous patients, were not present in this man, although low titer antinuclear antibodies were found. The implications of this latter finding are unclear. The patient's histocompatibility antigen (HLA) types were A2, B8, Bw58, DR1, and DR5. The degree of pituitary failure seemed out of proportion to the size of the mass seen on computed tomographic scan.

This paper describes the SRS Manned Mars Mission and Program Analysis study designed to support a manned expedition to Mars contemplated by NASA for the purposes of initiating human exploration and eventual habitation of this planet. The capabilities of the interactive software package being presently developed by the SRS for the mission/program analysis are described, and it is shown that the interactive package can be used to investigate the impact of various mission concepts on the sensitivity of mass required in LEO, schedules, relative costs, and risk. The results, to date, indicate the need for an earth-to-orbit transportation system much larger than the present STS, reliable long-life support systems, and either advanced propulsion or aerobraking technology.

This viewgraph presentation reviews an X-38 laser pyro system standardization system designed for a new manned rated program. The plans to approve this laser initiation system and preliminary ideas for this system are also provided.

The astronaut/Manned Maneuvering Unit interface, which presented a challenging set of requirements for a latching mechanism, is described. A spring loaded cam segment with variable ratio pulley release actuator was developed to meet the requirements. To preclude jamming of the mechanism, special precautions were taken such as spring loaded bearing points and careful selection of materials to resist cold welding. The mechanism successfully passed a number of tests which partially simulated orbital conditions.

A case report is presented of a 37-year-old active duty Navy petty officer with amebic abscess of the liver presenting as acute cholecystitis. He was admitted with severe right upper quadrant pain and a positive Murphy's sign, but sonogram and computed tomography (CT) scan demonstrated an abscess in the right lobe of the liver. "Anchovy paste" material was obtained on percutaneous drainage, and he was placed on metronidazole administration with a tentative diagnosis of amebic abscess. This was confirmed on enzyme-linked immunosorbent assay. Symptoms resolved within a few days, and the abscess progressively decreased in size. Amebic abscess of the liver is discussed, with emphasis on pathogenesis, diagnosis, and treatment. Although uncommon, the condition is still seen in various population groups including the United States military. Difficulty in diagnosis is not unusual, and as in the herein-reported case, amebic abscesses of the liver may be confused with acute cholecystitis and other intra-abdominal infections. Abdominal sonogram and CT examination will identify a process in the liver, but the presence of amebiasis must be confirmed by laboratory studies on serum or contents of the abscess. Amebicidal agents are effective in many cases, but there remain roles for aspiration of the abscess, percutaneous drainage, and even open surgical drainage. Failure to establish an early diagnosis may result in rupture of the abscess, with catastrophic results.

Light in the form of solar radiation influenced early civilisations and resulted in the independent development of a number of sun-worshipping dieties. These were of particular importance as hunter gatherers transformed into settled agricultural societies. All artificial light sources were synonymous with fire, and early civilisations began to expand their visual day by burning brands, oil, and candles. Fire-based light sources extended for thousands of years and were still present in the era of gas lighting. Light meant fire risk. The advent of incandescent bulbs and the era of electric lighting really only expanded in the early part of the twentieth century. Fluorescent lighting became available in the 1940s, and today the drive for low energy has resulted in a plethora of novel light sources—in particular, light-emitting diodes (LEDs). Evolution governed the development of the eye in relation to roughly 12 h of light gradually changing to 12 h of darkness. Today almost daylight levels can be achieved abruptly at the flick of a switch. Many studies have demonstrated the spectral dependence of eye health, with the retinal hazard zone associated with wavelengths in the blue, peaking at 441 nm— many of today's low-energy sources peak in this region. Given the increased longevity and artificial light sources emitting at biologically unfriendly wavelengths, attention has to be directed towards light in man's environment as a risk factor in age-related ocular diseases. PMID:26742864

Light in the form of solar radiation influenced early civilisations and resulted in the independent development of a number of sun-worshipping dieties. These were of particular importance as hunter gatherers transformed into settled agricultural societies. All artificial light sources were synonymous with fire, and early civilisations began to expand their visual day by burning brands, oil, and candles. Fire-based light sources extended for thousands of years and were still present in the era of gas lighting. Light meant fire risk. The advent of incandescent bulbs and the era of electric lighting really only expanded in the early part of the twentieth century. Fluorescent lighting became available in the 1940s, and today the drive for low energy has resulted in a plethora of novel light sources-in particular, light-emitting diodes (LEDs). Evolution governed the development of the eye in relation to roughly 12 h of light gradually changing to 12 h of darkness. Today almost daylight levels can be achieved abruptly at the flick of a switch. Many studies have demonstrated the spectral dependence of eye health, with the retinal hazard zone associated with wavelengths in the blue, peaking at 441 nm- many of today's low-energy sources peak in this region. Given the increased longevity and artificial light sources emitting at biologically unfriendly wavelengths, attention has to be directed towards light in man's environment as a risk factor in age-related ocular diseases.

The present study determined if the ideal man has changed over the years and who and what the ideal woman is. We asked students at Cameron University to rate the importance of character traits that define the ideal man and woman. Subjects also provided examples of famous people exemplifying the ideal, good, average, and inferior man and woman. We…

As the population is ageing globally, both ageing and obesity are recognized as major public health challenges. The aim of this narrative review is to present and discuss the current evidence on the changes in body composition, energy balance and endocrine environment that occur in the ageing man. Obesity in the ageing man is related to changes in both body weight and composition due to alterations in energy intake and total energy expenditure. In addition, somatopenia (decreased GH secretion), late-onset hypogonadism (LOH), changes in thyroid and adrenal function, as well as changes in appetite-related peptides (leptin, ghrelin) and, most importantly, insulin action are related to obesity, abnormal energy balance, redistribution of the adipose tissue and sarcopenia (decreased muscle mass). A better understanding of the complex relationship of ageing-related endocrine changes and obesity could lead to more effective interventions for elderly men.

The aptitude for symbolization, characteristic of man, is revealed not only in artistic representations and funerary practices. It is exhibited by every manifestation of human activity or representation of natural phenomena that assumes or refers to a meaning. We can recognize functional symbolism (tool-making, habitative or food technology), social symbolism, (language and social communication) and spiritual symbolism (funerary practices and artistic expressions). On the basis of these concepts, research into symbolism in prehistoric man allows us to recognize forms of symbolism already in the manifestations of the most ancient humans, starting with Homo habilis (or rudolfensis). Toolmaking, social organization and organization of the territory are oriented toward survival and the life of the family group. They attest to symbolic behaviors and constitute symbolic systems by means of which man expresses himself, lives and transmits his symbolic world. The diverse forms of symbolism are discussed with reference to the different phases of prehistoric humanity.

THE INFORMATION IN THIS STUDY GUIDE WAS DEVELOPED FOR USE IN THE RELATED TECHNICAL CLASSROOM INSTRUCTION PHASE OF THE AUTO PARTS MAN APPRENTICE TRAINING PROGRAM. THE MATERIAL WAS PLANNED UNDER THE DIRECTION OF THE STATE EDUCATIONAL ADVISORY COMMITTEE FOR THE AUTOMOTIVE TRADE. THE UNITS ARE (1) SCOPE AND OPPORTUNITY, (2) AREAS OF RESPONSIBILITY,…

"Eskimo Medicine Man" is a record of primitive Alaskan life in the 1930's. It records the experiences in Alaska's remote areas of Dr. Otto George, the last "traveling physician" for the Department of Interior's Indian Service, when in all the territory (an area one-fifth that of the contiguous United States) there were fewer…

The 70-kg Standard Man or Reference Man has been used in physiological models since at least the 1920s to represent adult males. It came into use in radiation protection in the late 1940s and was developed extensively during the 1950s and used by the International Commission on Radiological Protection (ICRP) in its Publication 2 in 1959. The current Reference Man for Purposes of Radiation Protection is a monumental book published in 1975 by the ICRP as ICRP Publication 23. It has a wealth of information useful for radiation dosimetry, including anatomical and physiological data, gross and elemental composition of the body and organs and tissues of the body. The anatomical data includes specified reference values for an adult male and an adult female. Other reference values are primarily for the adult male. The anatomical data include much data on fetuses and children, although reference values are not established. There is an ICRP task group currently working on revising selected parts of the Reference Man document.

This NASA Educational Publication was prepared from a transcript of a panel discussion held on July 2, 1976, in conjunction with the Viking Missions to Mars. The members of the Why Man Explores panel were selected as authorities in classical disciplines relating to exploration.

Analyzes the urban transport problems in comparison with those involved in a journey to the Moon. Indicates that the problem of enabling man to travel through the inner space of conurbations may prove to be more difficult than the transport problem of space travel. (CC)

Reviews four texts and compilations of papers in an effort to assess the relevance of animal behavior studies to anthropology and sociology. Concludes that where a basic element of behavior occurs widely throughout the animal kingdom, especially in the higher mammals and primates, we may expect to find a manifestation in man." Limitations of the…

Miami-Dade Community College (Florida) and the University of California at San Diego have developed an educational package, consisting of a study guide and two books, to complement Jacob Bronowski's"Ascent of Man" series on national television. This educational package allows colleges to offer courses based on the television broadcasts.…

JS is a highly able, well-educated 37yearoldman with Asperger syndrome. A recent qualitative paper (Boucher, 2007) described his self-report of verbal and visual memory difficulties. The present paper used the WMS-III to compare the memory profile of JS to that of the adults with HFA in the Williams et al. (2005) WMS-III paper. Results show…

A 37-year-oldman who recently underwent aortic valve replacement after endocarditis presented with cardiogenic shock. A large expansile pseudoaneurysm was subsequently discovered using multiple imaging modalities. Although transesophageal echocardiography is important in diagnosing valve endocarditis, coronary CT angiography of prosthetic valves is feasible and image quality is good. In this case, coronary CT angiography allowed for better understanding of transesophageal echocardiography images and earlier diagnosis of coronary involvement as cause for left ventricular dysfunction.

We present a 37year-oldman with HLA-B27 positive ankylosing spondylitis for the last 3 years. Interestingly, he developed both alopecia areata and hypertrichosis simultaneously following infliximab treatment. Reporting this interesting patient of ours -to our best notice for the first time in the literature- we call attention of clinicians to the contradistinctive effects of anti-TNF-α agents on hair growth cycle.

Mycobacterium fortuitum is a rare cause of recurrent skin abscesses in an immunocompetent person. We report the case of a 37-year-oldmanpresenting with multiple recurrent non-healing skin abscesses. Culture of the abscess wall yielded growth of M fortuitum. In our case, we highlight the association of anabolic steroids with non-tuberculous mycobacterial skin abscesses that fail to resolve despite repeated drainage.

Fibrodysplasia ossificans progressiva (FOP) is a rare hereditary connective tissue disease characterized by the progressive ectopic ossification of ligaments, tendons, and facial and skeletal muscles throughout life. Symptoms begin in childhood as localized soft tissue swellings. Immobility and articular dysfunction appear with involvement of the spine and proximal extremities. The temporomandibular joint (TMJ) is a critical component involved in the maxillofacial region, resulting in severe limitation of masticatory function, although TMJ involvement is rare. The aim of this article is to present a 28-year-old man with dental problems and slowly progressive limitation of motion in the jaw, knees, shoulders and hips as well as neck distortion.

Mycobacterial antigens not only stimulate Th cells that produce macrophage-activating factors, but also CD4+ and CD8+ CTL that lyse human macrophages. The mycobacterial recombinant 65-kD hsp was previously found to be an important target antigen for polyclonal CD4+ CTL. Because of the major role of 65-kD hsp in the immune response to mycobacterial as well as autoantigens, we have studied CTL activity to this protein at the clonal level. HLA-DR or HLA-DQ restricted, CD4+CD8- T cell clones that recognize different peptides of the M. leprae 65-kD hsp strongly lysed EBV-BLCL pulsed with specific but not irrelevant peptide. No bystander lysis of B cells, T cells, or tumor cells was seen. Target cell lysis could not be triggered by PMA + Ca2+ ionophore alone and depended on active metabolism. Interestingly, these CD4+ CTL also strongly lysed themselves and other HLA-class II compatible CD4+ (TCR-alpha/beta or -gamma/delta) or CD8+ CTL clones in the presence of peptide, suggesting that CTL are not actively protected from CTL- mediated lysis. Cold target competition experiments suggested that EBV- BLCL targets were more efficiently recognized than CD4+ CTL targets. These results demonstrate that hsp65 peptide-specific HLA class II- restricted CD4+ T cell clones display strong peptide-dependent cytolytic activity towards both APCs, and, unexpectedly, CD4+ and CD8+ CTL clones, including themselves. Since, in contrast to murine T cells human T cells express class II, CTL-mediated T cell killing may represent a novel immunoregulatory pathway in man. PMID:1972178

Typhoon Man-Yi was pummeling the Japanese island of Okinawa with winds between 230 and 295 kilometers per hour (125-160 knots, 144-184 miles per hour) and heavy rain on the morning of July 13, 2007, when the Moderate Resolution Imaging Spectroradiometer (MODIS) on NASA's Terra satellite captured this image. The immense storm covered hundreds of kilometers with spiraling bands of thunderstorms, though it had lost the distinctive cloud-free eye it exhibited the day before. Typhoons are common in Japan, but powerful typhoons usually strike the island nation later in the year. The Japan Meteorological Agency said that Man-Yi is the fourth typhoon of the 2007 season and may be the most powerful ever observed in the northwest Pacific in July, reported Kyodo News. The Joint Typhoon Warning Center expected the typhoon to strike Kyushu, a southern Japanese island, on July 14, and then curve northeast along the eastern shore of Japan. By the time the storm reaches Tokyo on July 15, it should be degraded to a tropical storm. As of July 13, Typhoon Man-Yi had injured eight and flooded twenty houses in Okinawa, and forced airlines to cancel hundreds of flights, said Kyodo News. The storm was expected to bring heavy rain to Japan's Pacific coast. NASA image created by Jesse Allen, using data provided courtesy of the MODIS Rapid Response team.

Manned orbiting stopover round trips to Venus are studied for departure dates between 1975 and 1986 over a range of trip times and stay times. The use of highly elliptic parking orbits at Venus leads to low initial weights in Earth orbit compared with circular orbits. For the elliptic parking orbit, the effect of constraints on the low altitude observation time on the initial weight is shown. The mission can be accomplished with the Apollo level of chemical propulsion, but advanced chemical or nuclear propulsion can give large weight reductions. The Venus orbiting mission weights than the corresponding Mars mission.

The resiliency and adaptive ability of microbial life in real time on Earth relies heavily upon horizontal gene transfer. Based on that knowledge, how likely is earth based microbial life to colonize extraterrestrial targets such as Mars? To address this question, we consider manned and unmanned space exploration, the resident microbiota that is likely to inhabit those vehicles, the adaptive potential of that microbiota in an extraterrestrial setting especially with regards to mobile genetic elements, and the likelihood that Mars like environments could initiate and sustain colonization. PMID:23481263

The development and establishment of a manned space station represents the next major U.S. space program after the Space Shuttle. If all goes according to plan, the space station could be in orbit around the earth by 1992. A 'power tower' station configuration has been selected as a 'reference' design. This configuration involves a central truss structure to which various elements are attached. An eight-foot-square truss forms the backbone of a structure about 400 feet long. At its lower end, nearest the earth, are attached pressurized manned modules. These modules include two laboratory modules and two so-called 'habitat/command' modules, which provide living and working space for the projected crew of six persons. Later, the station's pressurized space would be expanded to accommodate up to 18 persons. By comparison, the Soviets will provide habitable space for 12 aboard a 300-ton station which they are expected to place in orbit. According to current plans the six U.S. astronauts will work in two teams of three persons each. A ninety-day tour of duty is considered.

The present work reports on a study of the technology required to advance the state of the art in man/machine communications. The study involved the development and demonstration of both hardware and software to effectively implement man/computer interactive channels of communication. While tactile and visual man/computer communications equipment are standard methods of interaction with machines, man's speech is a natural media for inquiry and control. As part of this study, a word recognition unit was developed capable of recognizing a minimum of one hundred different words or sentences in any one of the currently used conversational languages. The study has proven that efficiency in communication between man and computer can be achieved when the vocabulary to be used is structured in a manner compatible with the rigid communication requirements of the machine while at the same time responsive to the informational needs of the man.

This paper presents the design of an oval man way in the side wall of a cylindrical pressure vessel. ASME Code Section 8 is used to obtain the design parameters of the oval man way, man way cover and bolts. The code calculations require some assumptions which may not be valid. A typical design example is taken. STAAD III finite element code with plate elements is used to model the oval man way, man way cover and bolts. The stresses calculated using ASME Code Section 8 and other analytical formulas for plate and shells are compared with the stresses obtained by Finite Element Modeling. This paper gives the designer of oval man way the ability to perform a finite element analysis and compare it with the analytical calculations and assumptions made. This gives added confidence to the designer as to the validity of his calculations and assumptions.

A computerized anatomical man (CAM) model, representing the most detailed and anatomically correct geometrical model of the human body yet prepared, has been developed for use in analyzing radiation dose distribution in man. This model of a 50-percentile standing USAF man comprises some 1100 unique geometric surfaces and some 2450 solid regions. Internal body geometry such as organs, voids, bones, and bone marrow are explicitly modeled. A computer program called CAMERA has also been developed for performing analyses with the model. Such analyses include tracing rays through the CAM geometry, placing results on magnetic tape in various forms, collapsing areal density data from ray tracing information to areal density distributions, preparing cross section views, etc. Numerous computer drawn cross sections through the CAM model are presented.

We present a 41-year-old man with severe traumatic brain injury. Cranial imaging studies revealed cerebral contusion and a longitudinal fracture of the temporal bone. Several days later brain herniated into the left external auditory canal. Imaging studies showed the known skull fracture with a direct connection between the external acoustic meatus and the intracranial structures.

A course which is an exploration of man's eternal search to understand himself and his world through the study of the mythology of the world is presented. Performance objectives include: (1) Students will recognize the content of the myths studied; (2) Students will identify the specific characteristics of the civilization studied; (3) Students…

A short review of the history of planetary quarantine, the issues, and changes in official advisory groups' pronouncements are presented. Then a discussion of the current situation and some ideas on how best to address them are outlined. Both manned and unmanned or automatic missions are discussed and their advantages and impediments outlined.

Utilizing the theme "Man and His Environment," the Octagon Lectures of 1969 were presented at the University of Western Australia, Nedlands, Western Australia. Problems arising from the imbalance between the ancient forces of nature and the new forces of human culture were dealt with by the lecturers. They revealed that the most important…

The term gossypiboma is used to describe a mass of cotton matrix left behind in a body cavity intraoperatively. The most common site reported is the abdominal cavity. It can present with abscess, intestinal obstruction, malabsorption, gastrointestinal hemorrhage, and fistulas. A 37-year-old woman presented with pain in the right hypochondrium for 2 months following open cholecystectomy. As she did not improve with proton pump inhibitors, an esophagogastroduodenoscopy (EGD) was done, which showed a possible gauze piece stained with bile in the first part of the duodenum. Contrast-enhanced computed tomography (CECT) of the abdomen revealed an abnormal fistulous communication of the first part of duodenum with proximal transverse colon, with a hypodense, mottled lesion within the lumen of the proximal transverse colon plugging the fistula, suggestive of a gossypiboma. Excision of the coloduodenal fistula, primary duodenal repair, and feeding jejunostomy was done. The patient recovered well and is now tolerating normal diet. Coloduodenal fistula is usually caused by Crohn's disease, malignancy, right-sided diverticulitis, and gall stone disease. Isolated coloduodenal fistula due to gossypiboma has not been reported in the literature so far to the best of our knowledge. We report this case of coloduodenal fistula secondary to gossypiboma for its rarity and diagnostic challenge.

In an examination guided by cognitive developmental and attribution theory of how explanations of wealth and poverty and perceptions of rich and poor people change with age and are interrelated, 6-, 10-, and 14-year-olds (N = 88) were asked for their causal attributions and trait judgments concerning a rich man and a poor man. First graders, like…

The case is presented of a 65-year-old man with neurofibromatosis manifesting facial and skeletal features resembling those of the "elephant man" described by Sir Frederick Treves. Autopsy revealed not only a pheochromocytoma (a common accompaniment of neurofibromatosis), but an enlarged infarcted spleen and a subphrenic abscess. These findings have not been described previously in a patient with neurofibromatosis.

An overview of spacecraft power systems is presented, with a focus on applications in the manned space program. The topics include: 1) History; 2) State-of-the-art; 3) Development directions; 4) Focus on applications in the manned space program led from JSC; 5) Power Systems Engineering Trade Space; 6) Power Generation and Energy Storage; 7) Power Distribution and Control; and 8) Actuation

U.S. manned space projects from Mercury Redstone 3 through Skylab 4 are briefly described including dates, flight duration, crew, and number of earth/moon orbits. The flight costs of each project are itemized. Highlights in the history of the manned space program from 1957 to February, 1974 are included.

A female patient had permanent axial muscular rigidity similar to the "stiff-man syndrome", together with axial myoclonus triggered by stretch reflexes and by supramaximal stimulation of the supraorbital nerve. The disorder responded to treatment with diazepam and baclofen. This disorder bore a marked similarity to the so-called "jerking stiff-man syndrome". PMID:7161612

A brief history of the development of electrical power systems from the earliest manned space flights illustrates a natural trend toward a growth of electrical power requirements and operational lifetimes with each succeeding space program. A review of the design philosophy and development experience associated with the Space Shuttle Orbiter electrical power system is presented, beginning with the state of technology at the conclusion of the Apollo Program. A discussion of prototype, verification, and qualification hardware is included, and several design improvements following the first Orbiter flight are described. The problems encountered, the scientific and engineering approaches used to meet the technological challenges, and the results obtained are stressed. Major technology barriers and their solutions are discussed, and a brief Orbiter flight experience summary of early Space Shuttle missions is included. A description of projected Space Station power requirements and candidate system concepts which could satisfy these anticipated needs is presented. Significant challenges different from Space Shuttle, innovative concepts and ideas, and station growth considerations are discussed. The Phase B Advanced Development hardware program is summarized and a status of Phase B preliminary tradeoff studies is presented.

Human explorers had a fundamental role in the success of the APOLLO moon programme, they were at the same time the indispensable pilots, scientific operators and on the last missions lead scientists. Since, man did not either return to the moon or land on Mars but manned operation centres on the earth are now conducting extensive telescience on both celestial bodies. Manned flights to moon, Mars and asteroids are however still on the agenda and even if the main drive of these projects is outside science, it is to the planetary scientists to both prepare the data bases necessary for these flights and to ensure that the scientific advantage of conducting research in real time and in situ is exploited to the maximum. The current manned flight programme in Europe concentrates on the use of the International Space Station, the scientific activities can be roughly divided between the pressurized payloads and the external payloads. Technology developments occur also in parallel and prepare new exploration techniques. The current planning leads to exploitation up to 2020 but the space agencies study further extensions, the date of 2028 having already been considered. The relation of these programmes to future manned planetary exploration will be described both from the science and development point of view. The complementary role of astronauts and ground operation centres will be described on the basis of the current experience of operation centres managing the International Space Station. Finally, the NASA ORION project of exploration in the solar system will be described with emphasis on its current European participations. The science opportunities presented by independent ventures as Inspiration Mars or Mars One will be presented.

Epidemiological publications regarding the carcinogenic potential of asphalt (bitumen) are reviewed. In 1984 the International Agency for Research on Cancer (IARC) stated that there is "inadequate evidence that bitumens alone are carcinogenic to humans." They did, however, conclude that animal data provided sufficient evidence for the carcinogenicity of certain extracts of steam refined and air refined bitumens. In the absence of data on man, IARC considered it reasonable to regard chemicals with sufficient evidence of carcinogenicity in animals as if they presented a carcinogenic risk to man. Epidemiological data for man accumulated since the IARC report do not fulfil the criteria for showing a causal association between exposure to asphalt and development of cancer. The studies cited all suffer from a lack of data on exposure or potential confounders, which are necessary to establish whether or not such an association may or may not exist. In view of the evidence (or lack thereof) regarding asphalt today, an appropriate public health attitude suggests at least that action be taken to protect those working with asphalt by monitoring the workplace, taking whatever steps are possible to minimise exposures and to inform workers of potential hazards. At the same time, a need exists for well designed analytical epidemiological studies to determine whether a risk of cancer in man exists from exposure to asphalt. PMID:1878310

A study is under way of a manned orbital space laboratory, some of the purposes of which would be to determine man's adaptability to space and to study structures and systems in space before committing manned spacecraft to long-range missions. It uses an inflatable torus as laboratory and living quarters and has an erectable solar collector as the source of heat for the power plant. The station rotates six times per minute in order to provide some artificial gravity together with stabilization. An escape taxi, which is not shown, is attached to the bottom of the station.

Poor man`s parallelism is a term to describe the harnessing of commonly available computational approaches containing a high degree of implicit or explicit parallelism with distributed computer resources to produce a large gain in processing time. The distinguishing features of poor man`s techniques are their accessibility and relatively low cost. In some circumstances, the clever exploitation of existing hardware and software may achieve as much improvement in the timely completion of tasks as do high-end, state-of-the-art parallel technologies. The ANN-GA approach to the optimization of environmental remediation strategies is an example of poor man`s parallelism: it integrates two well-known computational technologies, artificial neural networks (ANNs) and the genetic algorithm (GA), with a simple scheme for exploiting a network of Unix workstations to solve a nonlinear combinatorial optimization problem. Although this work has been motivated by the need to tame a computational tiger rather than to experiment with different flavors of parallelism, the approach has reached a level of maturity where it is instructive to examine how parallelism is embodied in its various components. It also stands as a demonstration of how even resource-lean organizations can take advantage of parallelism to solve problems.

Factors important for characterization of tritium in environmental pathways leading to exposure of man are reviewed and quantification of those factors is discussed. Parameters characterizing the behavior of tritium in man are also subjected to review. Factors to be discussed include organic binding, bioaccumulation, quality factor and transmutation. A variety of models are presently in use to estimate dose to man from environmental releases of tritium. Results from four representative models are compared and discussed. Site-specific information is always preferable when parameterizing models to estimate dose to man. There may be significant differences in dose potential among geographic regions due to variable factors. An example of one such factor examined is absolute humidity. It is concluded that adequate methodologies exist for estimation of dose to man from environmental tritium although a number of areas are identified where additional tritium research is desirable.

The assessment of unmanned approaches to experimental aerospace vehicles in general and to the NASP program in particular is summarized. Technical requirements for NASP demonstration are presented and unmanned options for satisfying requirements are discussed. The X-30 sensitivities to technical requirements are described. A correlation of the NASP program to prior flight test programs, both manned and unmanned, is also presented. It is noted that subscale vehicles may reduce risk by as much as 18 percent for approximately $200 M. It is concluded that half-scale vehicles may reduce program risk by 60 percent, while reducing X-30 costs by 40 percent. Also, an unmanned X-30 will probably cost more than a manned X-30 due to costs associated with additional software development and ground support systems costs.

Under institutional scientific-research conditions, during contact with monkeys or their tissues, there is a danger of infection of the associates by simian viruses which are pathogenic to man. Presented in this paper is information on these stimulants.

Bobby Fong, was president of Ursinus College until his death in September 2014 and is the only person to have served twice as chair of the AAC&U Board of Directors. In this article, his son Collin presents remarks made at the memorial service for his father. Collin describes his father as a man with a mission, and that mission was to make the…

A 37-year-old woman at 17 weeks of gestation who was first noted to have proteinuria and microscopic hematuria at 13 weeks of gestation was admitted to our hospital with proteinuria that progressed to nephrotic syndrome (NS). Despite the treatment with prednisolone, including methylprednisolone pulse therapy, the NS worsened. The patient underwent an elective abortion at 21 weeks of gestation, and the NS then went into partial remission. A renal biopsy revealed membranous nephropathy (MN). There was no evidence of secondary MN. This is the first reported case of subclinical idiopathic MN that first developed in pregnancy.

Gingivitis due to sarcoidosis is a relatively rare condition. Gingivitis or isolated gingival involvement may be the first sign of systemic sarcoidosis. We report the case of a 37year-old woman with isolated gingivitis due to sarcoidosis confirmed by biopsy. Following treatment with a systemic corticosteroid (prednisolone 40 mg/day), all clinical and radiologic findings were completely improved. In cases of chronic and intractable gingivitis, systemic sarcoidosis should be suspected. It should be confirmed with a biopsy, and the patient should be referred to a chest disease clinic to exclude other organ involvement.

Features of a European hypersonic winged reentry vehicle, Hermes, are presented, together with the technology requirements for its development and the missions it would serve. LEO is beginning to hold promise for the manufacture of materials in microgravity and/or vacuum conditions in orbiting facilities which need to be serviced. A manned, reusable, winged reentry vehicle would permit the delivery and return of payloads from space, recovery of the first stage of the Ariane V rocket for reuse, and return of the Hermes to a landing at the Kourou launch site. The avionics would be similar to those of modern aircraft, as would the landing system. In-orbit operational techniques would be needed, as would an internal environment similar to Spacelab, a rigid turnaround time, high utilization rate, and a 10 yr lifetime. The length of the Hermes is projected as 12.5 m, wingtip to wingtip breadth of 7.4 m, and a total mass of 11,400 kg for a heliosynchronous orbit mission, while 15,400 kg are available for a circular, 490 m/sec orbit.

A course which is an investigation and appraisal of prose, poetry, fine arts, and music which reflects the environment's effect on man or man's effect on his environment is presented. Performance objectives include the following: (1) Students will formulate a definition of what constitutes man's environment; (2) Students will examine the reactions…

The results of the first United States manned orbital space flight conducted on February 20, 1962 are presented. The prelaunch activities, spacecraft description, flight operations, flight data, and postflight analyses presented form a continuation of the information previously published for the two United States manned suborbital space flights conducted on May 5, 1961, and July 21, 1961, respectively, by the National Aeronautics and Space Administration.

For realizing the flexible man-machine collaboration, understanding of facial expressions and gestures is not negligible. In our method, we proposed a hierarchical recognition approach, for the understanding of human emotions. According to this method, the facial AFs (action features) were firstly extracted and recognized by using histograms of optical flow. Then, based on the facial AFs, facial expressions were classified into two calsses, one of which presents the positive emotions, and the other of which does the negative ones. Accordingly, the facial expressions belonged to the positive class, or the ones belonged to the negative class, were classified into more complex emotions, which were revealed by the corresponding facial expressions. Finally, the system architecture how to coordinate in recognizing facil action features and facial expressions for man-machine collaboration was proposed.

Manning's roughness coefficients for 43 natural and constructed streams in Illinois are reported and displayed on a U.S. Geological Survey Web site. At a majority of the sites, discharge and stage were measured, and corresponding Manning's coefficients—the n-values—were determined at more than one river discharge. The n-values discussed in this report are computed from data representing the stream reach studied and, therefore, are reachwise values. Presentation of the resulting n-values takes a visual-comparison approach similar to the previously published Barnes report (1967), in which photographs of channel conditions, description of the site, and the resulting n-values are organized for each site. The Web site where the data can be accessed and are displayed is at URL http://il.water.usgs.gov/proj/nvalues/.

A method to achieve man-in-the-control-loop simulation is presented. Emerging real-time dynamics simulation suggests a potential for creating an interactive design workstation with a human operator in the control loop. The recursive formulation for multibody dynamics simulation is studied to determine requirements for man-in-the-control-loop simulation. High speed computer graphics techniques provides realistic visual cues for the simulator. Backhoe and robot arm simulations are implemented to demonstrate the capability of man-in-the-control-loop simulation.

A proprietary feasibility evaluation is presented for more cost-effective means of accomplishing manned lunar missions than those of the Apollo program. The proposal involves a series of flights employing the Space Shuttle Orbiter and an expendable launcher such as the Ariane 5, which would be supplied by the ESA. The crew module would be externally similar to the Apollo three-man capsule, but would be smaller due to a two-man crew. Cost projections are made which encompass hardware development, production, testing, and operations (including those of the Space Shuttle and Ariane 5).

Immunolocalization of mannans in the seeds of Brachypodium distachyon reveals the presence of these polysaccharides in the root embryo and in the coleorhiza in the early stages of germination (12h), decreasing thereafter to the point of being hardly detected at 27h. Concurrently, the activity of endo-β-mannanases (MANs; EC 3.2.1.78) that catalyse the hydrolysis of β-1,4 bonds in mannan polymers, increases as germination progresses. The MAN gene family is represented by six members in the Brachypodium genome, and their expression has been explored in different organs and especially in germinating seeds. Transcripts of BdMAN2, BdMAN4 and BdMAN6 accumulate in embryos, with a maximum at 24–30h, and are detected in the coleorhiza and in the root by in situ hybridization analyses, before root protrusion (germination sensu stricto). BdMAN4 is not only present in the embryo root and coleorhiza, but is abundant in the de-embryonated (endosperm) imbibed seeds, while BdMAN2 and BdMAN6 are faintly expressed in endosperm during post-germination (36–42h). BdMAN4 and BdMAN6 transcripts are detected in the aleurone layer. These data indicate that BdMAN2, BdMAN4 and BdMAN6 are important for germination sensu stricto and that BdMAN4 and BdMAN6 may also influence reserve mobilization. Whether the coleorhiza in monocots and the micropylar endosperm in eudicots have similar functions, is discussed. PMID:25922488

Immunolocalization of mannans in the seeds of Brachypodium distachyon reveals the presence of these polysaccharides in the root embryo and in the coleorhiza in the early stages of germination (12h), decreasing thereafter to the point of being hardly detected at 27h. Concurrently, the activity of endo-β-mannanases (MANs; EC 3.2.1.78) that catalyse the hydrolysis of β-1,4 bonds in mannan polymers, increases as germination progresses. The MAN gene family is represented by six members in the Brachypodium genome, and their expression has been explored in different organs and especially in germinating seeds. Transcripts of BdMAN2, BdMAN4 and BdMAN6 accumulate in embryos, with a maximum at 24-30h, and are detected in the coleorhiza and in the root by in situ hybridization analyses, before root protrusion (germination sensu stricto). BdMAN4 is not only present in the embryo root and coleorhiza, but is abundant in the de-embryonated (endosperm) imbibed seeds, while BdMAN2 and BdMAN6 are faintly expressed in endosperm during post-germination (36-42h). BdMAN4 and BdMAN6 transcripts are detected in the aleurone layer. These data indicate that BdMAN2, BdMAN4 and BdMAN6 are important for germination sensu stricto and that BdMAN4 and BdMAN6 may also influence reserve mobilization. Whether the coleorhiza in monocots and the micropylar endosperm in eudicots have similar functions, is discussed.

GRADE OR AGES: Junior high school. SUBJECT MATTER: The black man in American society. ORGANIZATION AND PHYSICAL APPEARANCE: There are four major parts each with an overview. The four parts concern a) the African heritage of the black man, b) the American exploitation of the black man, c) the black man's contribution to American society, d) the…

THE CONTROL OF MOSQUITOES IS A MATTER OF INCREASING CONCERN IN THE STATE OF FLORIDA. A BRIEF DESCRIPTION OF THE LIFE CYCLE, VARIOUS SPECIES, CONTROL, AND DESCRIPTION OF DISEASES TRANSMITTED BY THE MOSQUITO WAS PRESENTED. THE ARTICLE CONCLUDED THAT MOSQUITO CONTROL IS NOT ONLY A HEALTH PROBLEM, BUT ALSO A MATTER OF IMPROVED ECONOMICS IN RELATION TO…

Produced for public interest, the Environmental Education Group has prepared this two-part review of the current state of energy utilization, the nature of the energy crisis, and approaches to energy production. The major section is a presentation of alternative sources of energy that are neglected, are of possible aid in the near future, or are…

This document presents a transcript of a National Aeronautics and Space Administration panel discussion held on July 2, 1976, in conjunction with the Viking Mission to Mars. The panel consisted of Norman Cousins, Ray Bradbury, Jacques Cousteau, James Michener, and Philip Morrison, and the principal topic was a philosophical discussion of the…

This book is the history of all the great moments of failure, tension, drama, euphoria, and success that characterized the beginning of man's adventure in space. It covers the technology and scientific knowledge, the vision, the politics, and the dedication of all those involved in the space program. One chapter is devoted to the experiments and observations of the astronauts as they explored the moon. An integral part of the history of space exploration is the race between Russia and the US to establish man in space. This is included. The book vividly portrays the experiences of the astronauts from Mercury, Gemini, Apollo, Skylab, and the Apollo-Soyuz missions. (SC)

The papers presented in this report represent the classified portion of the Second Manned Space Flight Meeting which was held in Dallas, TX, on April 22-24, 1963. The meeting was co-sponsored by the American Institute of Aeronautics and Astronautics and the National Aeronautics and Space Administration. The following subjects are discussed in the report: Manned Space Flight Programs, Launch Vehicles, Spacecraft Design, and Guidance and Control.

To help one see his man-made environment in a new way is the main purpose of this student workbook. Three basic questions are presented--what is the man-made environment, why it is, and how can we change it? Then, through a series of related problems and discussion, answers are discovered or choices made depending on the way one sees his world or…

A view of the facility and operational requirements involved in performing a manned thermal vacuum test is presented. The requirements fall into two major categories. The first category deals with placing the suited crewmen in a hazardous environment and assuring their safety. The second category deals with the constraints and special requirements involved with a suited crewman operating flight hardware in a 1-G environment. Design areas that deal with man rating a chamber, including fire suppression, emergency repress, emergency power, backups, reliable instrumentation and data systems, communications, television monitoring, biomedical monitoring, material compatibilities, and equipment supporting the Extravehicular Mobility Unit (EMU) are discussed. The operational issues that are peculiar to manned testing such as test rules, test procedures, test protocol, emergency drills, availability of hyperbaric facilities, test team training and certification engineering concerns for a safe mechanical and instrumentation buildup, hazard analysis, and Failure Modes and Effects Analysis are discussed. The constraints and special requirements involved with a suited crewman operating flight hardware in a 1-G environment are addressed.

A view of the facility and operational requirements involved in performing a manned thermal vacuum test is presented. The requirements fall into two major categories. The first category deals with placing the suited crewmen in a hazardous environment and assuring their safety. The second category deals with the constraints and special requirements involved with a suited crewman operating flight hardware in a 1-G environment. Design areas that deal with man rating a chamber, including fire suppression, emergency repress, emergency power, backups, reliable instrumentation and data systems, communications, television monitoring, biomedical monitoring, material compatibilities, and equipment supporting the Extravehicular Mobility Unit (EMU) are discussed. The operational issues that are peculiar to manned testing such as test rules, test procedures, test protocol, emergency drills, availability of hyperbaric facilities, test team training and certification engineering concerns for a safe mechanical and instrumentation buildup, hazard analysis, and Failure Modes and Effects Analysis are discussed. The constraints and special requirements involved with a suited crewman operating flight hardware in a 1-G environment are addressed.

"Man and Revolution," the second syllabus in a sequential program, provides 11th grade students with a humanities course that deals heavily in political theory. The rationale, objectives, guidelines, methods, and arrangement are the same as those described in SO 004 030. The introductory unit, followed by further units, helps students define and…

The Man, Controller of the Universe painted by the renowned Mexican artist Diego Rivera in the gigantic mural of the Palace of Fine Arts in Mexico City is overlooked by a telescope. We acknowledge this instrument as the Plaskett Telescope at the Dominion Astrophysical Observatory in Victoria, Canada.

SESSION 63 OF THE 1967 INSTITUTE OF ELECTRICAL AND ELECTRONIC ENGINEERS INTERNATIONAL CONVENTION BROUGHT TOGETHER SEVEN DISTINGUISHED MEN WORKING IN FIELDS RELEVANT TO LANGUAGE. THEIR TOPICS INCLUDED ORIGIN AND EVOLUTION OF SPEECH AND LANGUAGE, LANGUAGE AND CULTURE, MAN'S PHYSIOLOGICAL MECHANISMS FOR SPEECH, LINGUISTICS, AND TECHNOLOGY AND…

Reviews environmental studies which show that national climatic fluctuations vary over a wide range. Solar radiation, earth temperatures, precipitation, atmospheric gases and suspended particulates are discussed in relation to urban and extraurban effects. Local weather modifications and attempts at climate control by man seem to have substantial…

The program, Man in the Marine Environment, conducted by the Department of Anthropology, Oregon State University, between July, 1970 and June, 1971, consisted of two major components: (1) research, and (2) direct educational outputs in the form of a series of credit seminars and a public speaker's program. Research, as described in the procedures…

As machines have become a more common part of daily life through the passage of time, the idea that the line separating man and machine is slowly fading has become more popular as well. This paper examines three critics of change through their most famous works. One of the most popular views of Mary Shelley's "Frankenstein" is that it is a…

our Analytic hodel (see Chapter 5, New Manning Svestem Field Evaluacion . Technical Revore No. I, RAJL-, November c t, e number or soldiers retaking...and meaningful performance measures are not only crucial to the WRAIR N Field Evaluacion but also to the Army. To know which unit does betzer than

communication difficulty for the computer-naive; discovery of major communication structures in human communication that have been left out of man-machine...processes; creation of a new overview of how human communication functions in cooperative task-oriented activity; and assistance in ARPA policy formation on CAI equipment development.

The author reviews the published findings on the carriage of Staphylococcus pyogenes var. aureus during the last two decades, dealing mainly with observations made in British Commonwealth countries, Scandinavia and the USA. The importance of the role played by staphylococcal carriers in the spread of infection both in hospitals and among adults and children in the general population is clearly brought out and is of particular interest in view of the current increase in resistance of staphylococcal strains to antibiotics. There does not appear to have been any well-defined trend towards either an increase or a decrease in staphylococcal carriage in the past twenty years; annual variations have been quite considerable and the precipitate drop in the carriage rate in hospitals in 1949 (perhaps due to the extensive use of penicillin) has since been made up. A particularly high carriage rate was found among hospital staff and twice as high a rate among children born in hospitals as among those delivered at home. Closer study and better control of staphylococcal infections in hospital wards are clearly necessary. It is appreciated, however, that, before more effective control measures can be taken, there must be improvements in the present methods of sampling, in the testing of strains for pathogenicity and in other techniques. PMID:13726780

Introduction We present an unusual case of fitting in the mother and newborn child, and the challenges faced in the management of their hyponatraemia due to water intoxication. Case presentation A previously well 37-year-old, primigravid Caucasian woman presented with features mimicking eclampsia during labour. These included confusion, reduced consciousness and seizures but without a significant history of hypertension, proteinuria or other features of pre-eclampsia. Her serum sodium was noted to be low at 111 mmol/litre as was that of her newborn baby. She needed anti-convulsants with subsequent intubation to stop the fitting and was commenced on a hypertonic saline infusion with frequent monitoring of serum sodium. There is a risk of long-term neurological damage from central pontine myelinolysis if the hyponatraemia is corrected too rapidly. Mother and baby went on to make a full recovery without any long-term neurological complications. Conclusion There is little consensus on the treatment of life-threatening hyponatraemia. Previous articles have outlined several possible management strategies as well as their risks. After literature review, an increase in serum sodium concentration of no more than 8–10 mmol/litre in 24 hours is felt to be safe but can be exceeded with extreme caution if life-threatening symptoms do not resolve. Formulae exist to calculate the amount of sodium needed and how much hypertonic intravenous fluid will be required to allow safer correction. We hypothesise the possible causes of hyponatraemia in this patient and underline its similarity in symptom presentation to eclampsia. PMID:19055802

The primary change in crew capsule definition is a smaller MOTV crew capsule, switching from a 3-man capsule to a 2-man capsule. A second change permitted crew accommodations for sleeping and privacy to be combined with the flight station. The current baseline DRM, ER1, requires 2 men for 3 to 4 days to repair a multi-disciplined GOE Platform and a modest amount of mission dedicated hardware. A 2-man MOTV crew capsule to be used as a design reference point for the OTV, and its interfaces between the STS and other associated equipment or facilities are described in detail. The functional capabilities of the 2-man capsule, as well as its application to a wide range of generic missions, is also presented. The MOTV turnaround is addressed and significant requirements for both space based and ground based scenarios are summarized.

The literature dealing with the protection of man against rabies over the past 70 years in many parts of the world is reviewed, and the salient problems of our present state of knowledge analysed. The author discusses the measures currently in use for eliminating canine rabies by quarantine, regulation of the dog population, and—in particular—mass vaccination of dogs, with a detailed survey of the questions of immunological research which this method raises. Measures for suppressing the disease in other vectors are also described. It is concluded that, given effective education of the public and the widespread use of canine mass vaccination, human rabies is a preventable disease. PMID:13182607

The surgeon, like the pilot, is confronted with an ever increasing volume of voice, data, and image input. Simultaneously, the surgeon must control a rapidly growing number of devices to deliver care to the patient. The broad disciplines of man-machine interface design, systems integration, and teleoperation will play a role in the operating room of the future. The purpose of this communication is to report the incorporation of these design concepts into new surgical and laser delivery systems. A review of each general problem area and the systems under development to solve the problems are presented.

This book of conference presentations from a meeting of the Geological Society of London in 1989 includes 20 papers grouped in 5 sections. Sections include the following: volcanos; earthquakes; landslides; quiet hazards such as sea-level changes and loss of soils or biodiversity; discussion of the question of what can be done to reduce such disasters. Interaction of man's activities to initiate disasters, to increase the scope of disasters and/or to mitigate them is included in a number of papers. In the fourth section a final paper provides a summary of the food-soil, energy-climate, waste-garbage, and water-contamination interactions.

The two worlds of interactive graphics and realistic graphics have remained separate. Fast graphics hardware runs simple algorithms and generates simple looking images. Photorealistic image synthesis software runs slowly on large expensive computers. The time has come for these two branches of computer graphics to merge. The speed and expense of graphics hardware is no longer the barrier to the wide acceptance of photorealism. There is every reason to believe that high quality image synthesis will become a standard capability of every graphics machine, from superworkstation to personal computer. The significant barrier has been the lack of a common language, an agreed-upon set of terms and conditions, for 3-D modeling systems to talk to 3-D rendering systems for computing an accurate rendition of that scene. Pixar has introduced RenderMan to serve as that common language. RenderMan, specifically the extensibility it offers in shading calculations, is discussed.

The quantity of online documentation and viewing tools is overwhelming, with the World Wide Web, vendor-supported and local-site documentation and tools, etc. Maintaining the information and tools is equally overwhelming. However, statistics show that MAN usage far exceeds usage of other online documentation tools. But as one knows, MAN has its own problems, and at the forefront are MAN`S many inconsistencies. MAN is the standard Unix (and POSIX) tool which provides good summary information for those already familiar with a command. Well-written manual pages provide a good overall documentation. However, when a particular manual becomes too long, it becomes a cumbersome method to use for reading documentation. The paper describes MAN`s problems and the National Energy Research Supercomputer Center requirements for MAN.

The multiple man machine interfaces inherent in military pilot training, their social implications, and the issue of possible negative feedback were explored. Modern technology has produced machines which can see, hear, and touch with greater accuracy and precision than human beings. Consequently, the military pilot is more a systems manager, often doing battle against a target he never sees. It is concluded that unquantifiable human activity requires motivation that is not intrinsic in a machine.

Nine reports published in this volume study the uneasy coexistence of modern man and the complex society he has wrought. Man's apparent disorganized behavior is attributed to his inability to adapt readily to the charged pace of technological change. To combat the advancement of machine over man, he must, therefore, insist that moral and…

Stiff Man syndrome or stiff-person syndrome is a rare autoimmune disorder. It is characterized by increased axial muscular tone and limb musculature, and painful spasms triggered by stimulus. The case is presented of a 44-year-old man with stiff-person syndrome undergoing an injection of botulinum toxin in the urethral sphincter under sedation. Before induction, all the surgical team were ready in order to minimise the anaesthetic time. The patient was monitored by continuous ECG, SpO2 and non-invasive blood pressure. He was induced with fractional dose of propofol 150 mg, fentanyl 50 μg and midazolam 1mg. Despite careful titration, the patient had an O2 saturation level of 90%,which was resolved by manual ventilation. There was no muscle rigidity or spasm during the operation. Post-operative recovery was uneventful and the patient was discharged 2 days later. A review of other cases is presented. The anaesthetic concern in patients with stiff-person syndrome is the interaction between the anaesthetic agents, the preoperative medication, and the GABA system. For a safe anaesthetic management, total intravenous anaesthesia is recommended instead of inhalation anaesthetics, as well as the close monitoring of the respiratory function and the application of the electrical nerve stimulator when neuromuscular blockers are used.

A natural seismicity of Kuznetsk Basin is confined in the main to mountain frame of Kuznetsk hollow. In this paper materials of experimental work with local station networks within sediment basin are presented. Two types of seismicity display within Kuznetsk hollow have been understood: first, man-caused seismic processes, confined to mine working and concentrated on depths up to one and a half of km; secondly, seismic activations on depths of 2-56 km, not coordinated in plan with coal mines. Every of studied seismic activations consists of large quantity of earthquakes of small powers (Ms=1-3). From one to first tens of earthquakes were recorded in a day. The earthquakes near mine working shift in space along with mine working, and seismic process become stronger at the instant a coal-plough machine is operated, and slacken at the instant the preventive works are executed. The seismic processes near three lavas in Kuznetsk Basin have been studied in detail. Uplift is the most typical focal mechanism. Activated zone near mine working reach in diameter 1-1,5 km. Seismic activations not linked with mine working testify that the subsoil of Kuznetsk hollow remain in stress state in whole. The most probable causes of man-caused action on hollow are processes, coupled with change of physical state of rocks at loss of methane from large volume or change by mine working of rock watering in large volume. In this case condensed rocks, lost gas and water, can press out upwards, realizing the reverse fault mechanism of earthquakes. A combination of stress state of hollow with man-caused action at deep mining account for activations nascent in Kuznetsk Basin. Today earthquakes happen mainly under mine workings, and damages of workings themselves do not register, but intensive shaking felt on surface calls for intent study of so dangerous phenomena.

A rare case of solitary diffuse large B-cell lymphoma arising from the lumbar spinal nerve root is reported. A 37-year-oldmanpresented with a 3-month history of progressive numbness and paraparesis in both legs. The initial diagnosis was benign primary intradural extramedullary tumor including schwannoma and meningioma. Histopathological examination revealed diffuse large B-cell lymphoma. While a well-defined T1 isointense mass is common in primary spinal schwannoma, the present case was atypical and had a yellowish neural component. The pathogenesis and radiological findings of spinal diffuse large B-cell lymphoma are discussed and related literature is reviewed. PMID:27437017

Primary nasopharyngeal Kaposi sarcoma is extremely rare, as only 1 case has been previously reported in the literature. We report a new case, which occurred in a 37-year-oldman with a known history of acquired immune deficiency syndrome (AIDS). The patient presented with complaints of recurrent epistaxis and postnasal hemorrhage. Endoscopic examination detected a bluish, smooth, firm, nonpulsatile mass in the nasopharyngeal wall. Histopathologic findings on biopsy were consistent with Kaposi sarcoma. The tumor was successfully treated with radiotherapy. Kaposi sarcoma should be considered in the differential diagnosis of any AIDS patient who presents with recurrent unilateral nasal bleeding.

Human capabilities and requirements on space missions are discussed. Utilitarian and humanistic motivations for manned missions are considered, and a general program of development from easy space access and return, to a permanent LEO presence, to the limited self-sufficiency of man in space, is proposed. Man's potential as scientific observer, operator, and engineer/technician is illustrated with examples from the Apollo and Skylab missions. It is shown that future increases in man's space presence will require significant improvements in habitation technology, crew comfort and safety, operational effectiveness and reliability, and man/machine interactions: man-tended systems must be standardized and adapted to (mainly EVA) human servicing; permanently manned systems must be designed to attain levels of comfort, privacy, and overall habitability more like those expected on the ground.

A natural seismicity of Kuznetsk Basin is confined in the main to mountain frame of Kuznetsk hollow. In this paper materials of experimental work with local station networks within sediment basin are presented. Two types of seismicity display within Kuznetsk hollow have been understood: first, man-caused seismic processes, confined to mine working and concentrated on depths up to one and a half of km; secondly, seismic activations on depths of 2-56 km, not coordinated in plan with coal mines. Every of studied seismic activations consists of large quantity of earthquakes of small powers (Ms=1-3). From one to first tens of earthquakes were recorded in a day. The earthquakes near mine working shift in space along with mine working, and seismic process become stronger at the instant a coal-plough machine is operated, and slacken at the instant the preventive works are executed. The seismic processes near three lavas in Kuznetsk Basin have been studied in detail. Uplift is the most typical focal mechanism. Activated zone near mine working reach in diameter 1-1,5 km. Seismic activations not linked with mine working testify that the subsoil of Kuznetsk hollow remain in stress state in whole. The most probable causes of man-caused action on hollow are processes, coupled with change of physical state of rocks at loss of methane from large volume or change by mine working of rock watering in large volume. In this case condensed rocks, lost gas and water, can press out upwards, realizing the reverse fault mechanism of earthquakes. A combination of stress state of hollow with man-caused action at deep mining may account for incipient activations in Kuznetsk Basin. Today earthquakes happen mainly under mine workings, though damages of workings themselves do not happen, but intensive shaking on surface calls for intent study of so dangerous phenomena. In 2009 replicates of the experiment on research of seismic activations in area of before investigated lavas have been conducted

The program for the Apollo 16 flight was designed to include both safeguards against and investigations of the physiological problems arising from increase in the period of manned space flight. Precautions included the provision of a controlled diet with high potassium content, carefully controlled work loads and work-rest cycles, and an emergency cardiology consultation service, and investigations were made to enable preflight vs postflight comparisons of metabolic, cardiovascular, and central nervous system data. Results of these investigations indicate that adjustment to weightlessness can be satisfactorily assisted by appropriate countermeasures, including attention to diet.

An overview of the conceptual study of spacecraft used for validating technologies which will be necessary for manned space development conducted by Japan in the future is presented. An Environmental Control and Life Support System (ECLSS) and two-phase liquid loop radiator experiment equipment were selected as the major and optional equipment to be installed onboard the manned engineering test satellites, respectively. Mission items for ECLSS experiment equipment were extracted and traded off from the following on-ground technologies: (1) technology for removing toxic substances, offensive substances, and fine particles from the atmosphere; (2) N2 and O2 partial pressure control and CO2 removal technologies; (3) gas sensing technology; and (4) temperature and humidity control technology. Comparison was conducted on three base-line configurations such as follows: (1) pressurized module (expendable) plus bus section (expendable); (2) pressurized module (retrievable) plus bus section (expendable); and (3) pressurized module (expendable) plus bus section (expendable) plus recovery section. The results of the review on the satellite system base on configuration of the above case (1) are outlined.

The results of a study conducted at the NASA-LaRC to assess the impacts on the Phase 2 Space Station of Accommodating a Manned Mission to Mars are documented. In addition, several candidate transportation node configurations are presented to accommodate the assembly and verification of the Mars Mission vehicles. This study includes an identification of a life science research program that would need to be completed, on-orbit, prior to mission departure and an assessment of the necessary orbital technology development and demonstration program needed to accomplish the mission. Also included is an analysis of the configuration mass properties and a preliminary analysis of the Space Station control system sizing that would be required to control the station. Results of the study indicate the Phase 2 Space Station can support a manned mission to Mars with the addition of a supporting infrastructure that includes a propellant depot, assembly hanger, and a heavy lift launch vehicle to support the large launch requirements.

The results of a study conducted at the NASA-LaRC to assess the impacts on the Phase 2 Space Station of Accommodating a Manned Mission to Mars are documented. In addition, several candidate transportation node configurations are presented to accommodate the assembly and verification of the Mars Mission vehicles. This study includes an identification of a life science research program that would need to be completed, on-orbit, prior to mission departure and an assessment of the necessary orbital technology development and demonstration program needed to accomplish the mission. Also included is an analysis of the configuration mass properties and a preliminary analysis of the Space Station control system sizing that would be required to control the station. Results of the study indicate the Phase 2 Space Station can support a manned mission to Mars with the addition of a supporting infrastructure that includes a propellant depot, assembly hangar, and a heavy lift launch vehicle to support the large launch requirements.

The United States is in trouble in space. The costs of the proposed Space Station Freedom have grown beyond reach, and the present design is obsolete. The trouble has come from imagining that there are only two alternatives: manned vs. unmanned. Both choices have led us into designs that do not appear to be practical. On one side, the United States simply does not possess the robotic technology needed to operate or assemble a sophisticated unmanned space station. On the other side, the manned designs that are now under way seem far too costly and dangerous, with all of its thousands of extravehicular activity (EVA) hours. More would be accomplished at far less cost by proceeding in a different way. The design of a space station made of modular, Erector Set-like parts is proposed which is to be assembled using earth-based remotely-controlled binary-tree telerobots. Earth-based workers could be trained to build the station in space using simulators. A small preassembled spacecraft would be launched with a few telerobots, and then, telerobots could be ferried into orbit along with stocks of additional parts. Trained terrestrial workers would remotely assemble a larger station, and materials for additional power and life support systems could be launched. Finally, human scientists and explorers could be sent to the space station. Other aspects of such a space station program are discussed.

A set of roving vehicle design requirements were postulated, corresponding to an idealized Mars transport vehicle operational scenario which could serve as a reference for a manned Mars mission. The ability of conventional vehicles to satisfy these requirements were examined. The study indicated that no conventional vehicle could satisfy all of the requirements, as the vehicles are presently configured. Consequently, the requirements have to either be relaxed and/or an alternative, less conventional vehicle design will have to be developed. A possible unconventional vehicle design which has received considerable attention for DARPA and the Army is the walker vehicle. The design issues associated with this vehicle are presented, along with a comparison of the performance capabilities of this technology vs. conventional vehicle technology.

Since 1992 China has been carrying out a conspicuous manned space mission A utility project has been defined and created during the same period The Utility Project of the Chinese Manned Space Mission involves wide science areas such as earth observation life science micro-gravity fluid physics and material science astronomy space environment etc In the earth observation area it is focused on the changes of global environments and relevant exploration technologies A Middle Revolution Image Spectrometer and a Multi-model Micro-wave Remote Sensor have been developed The detectors for cirrostratus distribution solar constant earth emission budget earth-atmosphere ultra-violet spectrum and flux have been manufactured and tested All of above equipment was engaged in orbital experiments on-board the Shenzhou series spacecrafts Space life science biotechnologies and micro-gravity science were much concerned with the project A series of experiments has been made both in ground laboratories and spacecraft capsules The environmental effect in different biological bodies in space protein crystallization electrical cell-fusion animal cells cultural research on separation by using free-low electrophoresis a liquid drop Marangoni migration experiment under micro-gravity as well as a set of crystal growth and metal processing was successfully operated in space The Gamma-ray burst and high-energy emission from solar flares have been explored A set of particle detectors and a mass spectrometer measured

Since emotions give contradictory signals about animal experimentation in medical science, man's relationship to animals must be based upon reason. Thomas Aquinas argues that man is essentially different from animals because man's intellectual processes show evidence of an abstract mechanism not possessed by animals. Man's rights arise in association with this essential difference. The consequence is that only man possesses true rights by Aquinas's definition; animals have them only by analogy. However, cruelty to animals is illicit and they should be protected, principally not because they have rights, but because he who is cruel to animals is more likely to be cruel to his fellowman. If there is a need for animal experimentation in science for the good of man, this approach gives philosophical justification for experimentation, since man's well-being must come before that of animals because of his unique possession of rights. However, those experiments should be carried out in the kindest way possible, to promote kindness towards man. To see man as solely part of a biological continuum in competition for rights with those beings close to him biologically, detracts from man's dignity.

A 37yearoldmanpresented with a 6 month history of a right epiphora with associated mucus discharge. Lacrimal irrigation demonstrated right unilateral partial nasolacrimal duct obstruction, confirmed with lacrimal scintigraphy. Nasal endoscopy showed a pale elevation in the right inferior meatus. Endoscopic endonasal examination revealed a yellow-white nasolacrimal duct stone emerging from the valve of Hasner in the inferior meatus. The distal nasolacrimal duct in the lateral wall of the inferior meatus was marsupialised and the stone removed. At 12 months follow-up the patient maintained complete resolution of symptoms.

This case report presents a 37-year-oldman with clinical signs of myelopathy almost 9 years after implantation of a Bryan disc prosthesis (Medtronic Sofamor Danek, Memphis, TN, USA) for C5/C6 soft disc herniation. As demonstrated on MRI and CT scan, spinal cord compression was caused by bony spurs due to heterotopic ossification posterior to the still moving prosthesis. The device, as well as the ectopic bone deposits, had to be removed because of myelopathy and its imminent aggravation. Conversion to anterior spondylodesis was performed.

Spontaneous oesophageal rupture after swallowing a bolus of food is a very rare condition. In resource-limited settings, it is very challenging to diagnose this condition especially when its presentation is atypical. Its prognosis is very poor when diagnosis is delayed due to risk of mediastinitis. We report a case of 37-year-oldman who was admitted to our hospital complaining of sudden onset of chest tightness and pain after a meal 8 h prior to admission. Urgent chest radiograph revealed right hydropneumothorax with collapsed lung. Water-seal drainage was established gushing 1200 ml of food materials. Definitive diagnosis of oesophageal rupture was reached after post-mortem.

A 37yearoldmanpresenting with acute heart failure, hypotension, and acute renal failure was diagnosed by cardiac catheterisation and angiography to have the rare combination of congenital aneurysm of the non-coronary sinus of Valsalva rupturing into the right ventricle, and an anomalous origin of the right coronary artery from the main pulmonary artery. The diagnosis could not be confirmed by transthoracic echocardiography in this patient. This combination of defects, confirmed at cardiac surgery, has not been reported before, and this case report highlights the importance of preoperative definition of congenital defects associated with an aneurysm of the sinus of Valsalva. PMID:1389769

Sibutramine is an antiobesity drug that inhibits the reuptake of serotonin and noradrenalin in the hypothalamus. A 37-year-old Korean manpresented to the emergency room for the oral intake of 280 mg of sibutramine. The patient was in thyrotoxic state. The (99m)Technetium-pertechnetate thyroid scan showed irregular uptake of radioisotope and thyroid-stimulating hormone receptor antibody and thyroperoxidase antibody were negative. Thyroid function normalized after that. The patient had transient thyrotoxicosis with thyroiditis. We report a case of thyrotoxicosis accompanied by thyroiditis resulting from the intentional overdose of sibutramine.

A live intraocular nematode was identified from a 37year-oldmanpresented with iritis, pain, redness, lacrimation, swelling, vision loss and intermittent blindness during many hours per day of the left eye. By using slit lamp examination, a worm was removed from iris in an ophthalmology outpatient department setting and sent to the Medical Microbiology Laboratory, Institut Pasteur du Cambodge. Gnathostoma spinigerum was identified, based on its typical morphology via microscopic examination. Based on our diagnosis, the patient was treated by oral albendazole and responded well to this therapy.

The requirements for extended-duration space missions in earth orbit beyond those anticipated for the 7- to 30-day Shuttle Spacelab system have been examined. It has been determined that a continuously manned, free-flying orbital facility provides a realistic and cost-effective space platform for multidiscipline payloads designed to support research, applications, and system implementation programs such as the assembly of large space structures, and on-orbit space manufacturing. A conceptual description of such a manned facility (early Space Station) and the accommodations that it can provide using agencies and organizations is presented in this paper.

This compilation of papers constitutes an interim report on the results of experiments conducted during the Gemini V manned space flight. The results of experiments conducted on Gemini III and IV manned space flights have been published previously in a similar interim report, "Manned Space Flight Experiments Symposium, Gemini Missions III and IV," which is available upon request from MSC Experiments Program Office, Houston, Texas (Code EX, Attention of R. Kinard). The Gemini V mission provided the greatest opportunity to date for conducting experiments; the increased mission duration of eight days provided this added capability. The total mission experiment complement was seventeen. Five experiments were designed to obtain basic scientific knowledge, five were medical, and seven were technological and engineering in nature. Six of the experiments had flown previously on Gemini IV, and eleven were new. The results of the experiments, including real-time modification to preflight plans made necessary by abnormal spacecraft system operation, are presented.

The 1971 B.Y. Morrison Memorial Lecture by Ian L. McHarg, noted landscape architect, planner, and lecturer, is presented in this pamphlet. His expose is two-fold. "Man is an epidemic, multiplying at a superexponential rate, destroying the environment upon which he depends, and threatening his own extinction. He treats the world as a storehouse…

A 41-year-old man with metastases of a gastrointestinal stroma tumour was treated with an angiogenesis inhibitor. He presented with a distinct painful erythematous hyperkeratotic bullous hand-foot skin reaction. This was thought to be caused by the oral angiogenesis inhibitor and resolved after discontinuation of the therapy. This is a known adverse effect of angiogenesis inhibitors and is dose dependent.

A case report is presented of a koro-like syndrome in a 34-year-old Bedouin man living in the Negev desert in Israel. The patient's disturbance is accompanied by voyeurism and the onset appears to be related to his sexual practices. This is the first reported case among Bedouins, who are an Arab nomadic tribe living in Asia and Africa.

Topics covered in this book include: Image understanding concepts and models, Image understanding systems and applications; and Advanced man-machine interfaces. The papers presented include Update on strategic computing computes vision: taking image understanding to the next plateau and Tiling strategies for image parallelism.

THE PAPER WAS PRESENTED AS PART OF THE AVIONICS PANEL PROGRAM ON NATURAL AND ARTIFICIAL LOGIC PROCESSORS, SPONSORED BY THE ADVISORY GROUP FOR AERONAUTICAL RESEARCH AND DEVELOPMENT, NATO. SEVERAL CONCEPTUAL PROPOSITIONS IN REGARD TO MAN AND THE COMPUTER ARE OFFERED. THE NATURE OF TRAINING RESEARCH IS EXAMINED. THERE IS ALSO A BRIEF CATEGORIZATION…

Describes a second-grade class project in which students wrote a fictional biography in response to several books read aloud to them. Enumerates the 9 steps in the process, and presents selections (chapters 1 and 10) from the book "The Man in the Walnut Shell." (SR)

In the last 20 years or so, the field of complexity science has entered a new age. The combination of new theoretical insights and the data revolution has prepared the ground for a number of conceptual milestones in many disciplines as diverse as biology, physics, engineering, and economic and social sciences. At the same time, we have been able to identify new challenges whose solutions will confer the science of complex systems an unprecedented applied dimension. Here I would like to focus on one of these challenges: the socio-technical man. With the ever-increasing growth of both the world population and new technologies, it is fundamental for the well-being of humanity and our society to understand how humans interact among them and with the new technological environment...

The contemporary presence of organomegaly, skin manifestations, polyneuropathy, endocrinopathy and monoclonal component characterises the POEMS syndrome, often associated with osteosclerotic myeloma and Castelman's disease and more frequent in the Japanese. Clinical manifestations seem to be related to the production of many interleukins, mainly IL-1, IL-6 and TNF. Several endocrinopathies have been described, the most frequent being diabetes. Only one previous case of hypoparathyroidism associated with the syndrome has been described in medical reviews. Polyneuropathy is often sensitivo-motory and skin disease accounts for Raynaud phenomenon, skin pigmentation, hypertricosis and others. We describe the case of a 74-year-old man who underwent clinical examination for weakness mainly in the legs. Clinical and instrumental data showed rhabdomyolysis due to hypoparathyroidism. The contemporary presence of a monoclonal band of light chains on proteic electrophoresis, organomegaly and distal leg neuropathy allowed us to make a diagnosis of POEMS syndrome.

Cardiac calcified amorphous tumors (CATs) are an extremely rare nonneoplastic intracardiac masses. They have been reported in the literature in only a few cases. Thus, the incidence, pathogenesis, and best approach to the treatment are not certain. We report a case of CATs on the atrial surface of the anterior mitral valve leaflet in a 37-year-old female who was diagnosed by histopathological examination after surgical removal. PMID:28194283

Describes "Man to Man about Rape," project offered at one university that uses both didactic and small group experiential formats to educate male college students about male socialization, intimacy, violent behavior, objectification, father-son relationships, and sexual behavior. (NB)

This article is a general review of the impact of man on the environment. The writing style is descriptive and nontechnical, and numerous examples are presented in reviewing these topics: Ecology, Then Came Man, The Country's Air, Effects of Air Pollution, What is Being Done, and Preventive Conservation. (PR)

Ages of several Californzia Paleo-Indlian skeletons have been deduced from the extent of aspartic acid racemization. These dates suggest that man was present in North America at least 50,000 years before the present.

We describe a 26-year-old man with metastatic choriocarcinoma who presented with hyperthyroidism associated with elevated β-human chorionic gonadotropin (B-HCG) and respiratory failure secondary to diffuse lung metastasis. After the first cycle of chemotherapy, the concentration of B-HCG dramatically decreased and the patient became euthyroid, allowing us to discontinue antithyroid medications. The patient's hyperthyroidism was caused by stimulation of the thyroid gland by high B-HCG levels, as shown by the marked improvement of the patient's thyroid function panel after chemotherapy. PMID:26722165

He was sitting on a large slab of rock. As he looked at the cloud of dust hanging hazily on the horizon, the piece of antler and the block of flint he held in his hand hung as if they were suspended from their previous rapid motion. The man gazed intently across the swaying grass which rose in wave-like billows across the distant hills. What was that dust - a herd of buffalo, a band of hunters, or were coyotes chasing the antelope again? After watching for a while he started again to chip the flint with a rapid twisting motion of the bone in his right hand. The little chips of flint fell in the grass before him. It is the same hill but the scene has changed. Seated on the same rock, holding the reins of a saddle horse, a man dressed in buckskin took the fur cap off his head and wiped his brow. He was looking intently across a brown and desolate landscape at a cloud of dust on the far horizon. Was it the hostile tribe of Indians? It could be buffalo. Nervously he kicked at the ground with the deerhide moccasin, pushing the flint chips out of the way. He wiped the dust from his long rifle. What a terrible place - no water, practically no grass, everything bare and brown. Now at sunset, slanting across the hills green with springtime, a cowman sits on a big rock, pushes his sombrero back on his head, and looks across the valley at a large but quiet herd of stock, moving slowly as each steer walks from one lush patch of grass to another, nibbling. Suddenly he stood up. Far on the horizon some dark objects were moving. Is it the sheepmen? Could it be the stage coach from Baggs to the Sweetwater Crossing?Same hill - a gray truck was grinding slowly toward the summit. It pulled up near a small fenced enclosure where there were some instruments painted a bright silver color. A man stepped out of the truck and turned to his younger companion, "You've never found an arrowhead? Maybe you have never thought about it correctly. If you want to find where an Indian camped long

The universe has always aroused people's curiosity. It fascinates and at the same time scares in its vastness. Encourages us to reflect of the meaning of human life. This begs the questions: whether there is a life beyond Earth? Whether is it possible that the man is alone in such a large space? These questions still remain unanswered, and topics concerning "the cosmos" constantly evoke many emotions. It is especially fascinating for the youngest students. Quite often, preschoolers can flawlessly name the planets according to their order of appearance in relation to the sun. They are happy to take the fun inspired by journeys into space. Teaching through action is extremely important for the development of the child-man* (Piaget, 2006). The thinking originates primarily from the action. Therefore, students should undertake independent research activities, perform experiments and conduct observations and thus raise questions about the world, looking for meanings and solutions. Adults (a teacher, a person with a passion) are to be the support in the search for knowledge, its processing and cleaning. Its role is to ensure a proper development of environment that is conducive to research activity. The answer to these requirements was to create in the oldest technical school in Poland (Railway Technical College, now Technical College No. 7) the astronomical observatory, which can be used by pupils of Warsaw's kindergartens and schools. There are organized activities for children and youth in this school, as well as trainings for teachers. Younger students during such an interdisciplinary courses are, among others, the opportunity to get acquainted with the construction of the telescope, they can build their own rockets and organize their racing or create your own star constellations. Older students as a result of observations and experiments may confirm or refute the hypothesis that the universe is within each of us. The classes are enriched using applications on

In its broadest sense, biomedical support of man in space must not be limited to assisting spacecraft crew during the mission; such support should also ensure that flight personnel be able to perform properly during landing and after leaving the craft. Man has developed mechanisms that allow him to cope with specific stresses in his normal habitat; there is indisputable evidence that, in some cases, the space environment, by relieving these stresses, has also allowed the adaptive mechanisms to lapse, causing serious problems after re-entry. Inflight biomedical support must therefore include means to simulate some of the normal stresses of the Earth environment. In the area of cardiovascular performance, we have come to rely heavily on complex feedback mechanisms to cope with two stresses, often combined: postural changes, which alter the body axis along which gravitational acceleration acts, and physical exercise, which increases the total load on the system. Unless the appropriate responses are reinforced continuously during flight, crew members may be incapacitated upon return. The first step in the support process must be a study of the way in which changes in g, even of short duration, affect these responses. In particular we should learn more about effects of g on the "on" and "off" dynamics, using a variety of approaches: increased acceleration on one hand at recumbency, immersion, lower body positive pressure, and other means of simulating some of the effects of low g, on the other. Once we understand this, we will have to determine the minimal exposure dose required to maintain the response mechanisms. Finally, we shall have to design stresses that simulate Earth environment and can be imposed in the space vehicle. Some of the information is already at hand; we know that several aspects of the response to exercise are affected by posture. Results from a current series of studies on the kinetics of tilt and on the dynamics of readjustment to exercise in

In its broadest sense, biomedical support of man in space must not be limited to assisting spacecraft crew during the mission; such support should also ensure that flight personnel be able to perform properly during landing and after leaving the craft. Man has developed mechanisms that allow him to cope with specific stresses in his normal habitat; there is indisputable evidence that, in some cases, the space environment, by relieving these stresses, has also allowed the adaptive mechanisms to lapse, causing serious problems after re-entry. Inflight biomedical support must therefore include means to simulate some of the normal stresses of the Earth environment. In the area of cardiovascular performance, we have come to rely heavily on complex feedback mechanisms to cope with two stresses, often combined: postural changes, which alter the body axis along which gravitational acceleration acts, and physical exercise, which increases the total load on the system. Unless the appropriate responses are reinforced continuously during flight, crew members may be incapacitated upon return. The first step in the support process must be a study of the way in which changes in g, even of short duration, affect these responses. In particular we should learn more about effects of g on the "on" and "off" dynamics, using a variety of approaches: increased acceleration on one hand at recumbency, immersion, lower body positive pressure, and other means of simulating some of the effects of low g, on the other. Once we understand this, we will have to determine the minimal exposure dose required to maintain the response mechanisms. Finally, we shall have to design stresses that simulate Earth environment and can be imposed in the space vehicle. Some of the information is already at hand; we know that several aspects of the response to exercise are affected by posture. Results from a current series of studies on the kinetics of tilt and on the dynamics of readjustment to exercise in

THIS TEACHER'S MANUAL FOR THE ENGINEERING CONCEPTS CURRICULUM PROJECT'S HIGH SCHOOL COURSE, "THE MAN MADE WORLD," IS THE THIRD DRAFT OF THE EXPERIMENTAL VERSION. THE MATERIAL WRITTEN BY ENGINEERS, SCIENTISTS, AND EDUCATORS, EMPHASIZES ENGINEERING--MAN'S APPLICATION OF SCIENTIFIC PRINCIPLES TO THE CONTROL AND UTILIZATION OF HIS ENVIRONMENT.…

Two frameworks for the study of man are discussed. The Cartesian model views man as a physical object. A dialectic framework, with the emphasis on the self, grew out of nineteenth century romanticism and reflects the theories of Hegel. Both models have had an effect on social psychology and the study of interpersonal communication. (BH)

Deciphering the learning mechanism which exists in man remains to be solved. This article examines the learning process with respect to association and cybernetics. It is recommended that research should focus on the transdisciplinary processes of learning which could become the next key concept in the science of man. (Author/MA)

The science of metrology has moved from man as the measure to man as the measurer. This transformation is documented with examples from the history of metrology. Outcome measures, which rest on the same history of measurement, are units constructed and maintained for their utility, constancy, and generality. (Author/SLD)

Reviews calculations that derive an order of magnitude expression for the size of man in terms of fundamental constants, assuming that man satifies these three properties: he is made of complicated molecules; he requires an atmosphere which is not hydrogen and helium; he is as large as possible. (CS)

This is a collection of papers which resulted from an assignment given in a seminar dealing with the topic Man and His Environment at Phoenix Union High School, Arizona. The interdisciplinary seminar focused on the relationships between man and his physical environment. Its purpose was to introduce the participants to the spectrum of environmental…

Man and nature is the theme of this resource paper which is part of a series designed to supplement existing texts and to fill a gap between significant research in geography and readily accessible materials. The approach followed in the paper is loosely dialectical: the intent is to understand man and nature by posing one concept against the…

Reviews three years of research on the effects of marihuana in man. Previously known clinical mental and physical effects have been confirmed. Causes and mechanisms of these effects generally remain undetermined in man and animals. Social implications and long term effects require additional study, although usage appears detrimental. (JM)

The man machine automation tradeoff methodology presented is of four research tasks comprising the autonomous spacecraft system technology (ASST) project. ASST was established to identify and study system level design problems for autonomous spacecraft. Using the Space Station as an example spacecraft system requiring a certain level of autonomous control, a system level, man machine automation tradeoff methodology is presented that: (1) optimizes man machine mixes for different ground and on orbit crew functions subject to cost, safety, weight, power, and reliability constraints, and (2) plots the best incorporation plan for new, emerging technologies by weighing cost, relative availability, reliability, safety, importance to out year missions, and ease of retrofit. A fairly straightforward approach is taken by the methodology to valuing human productivity, it is still sensitive to the important subtleties associated with designing a well integrated, man machine system. These subtleties include considerations such as crew preference to retain certain spacecraft control functions; or valuing human integration/decision capabilities over equivalent hardware/software where appropriate.

This report presents a methodological approach to the dynamic allocation of tasks in a man-machine symbiotic system in the context of dexterous manipulation and teleoperation. This report addresses a symbiotic system containing two symbiotic partners which work toward controlling a single manipulator arm for the execution of a series of sequential manipulation tasks. It is proposed that an automated task allocator use knowledge about the constraints/criteria of the problem, the available resources, the tasks to be performed, and the environment to dynamically allocate task recommendations for the man and the machine. The presentation of the methodology includes discussions concerning the interaction of the knowledge areas, the flow of control, the necessary communication links, and the replanning of the task allocation. Examples of task allocation are presented to illustrate the results of this methodolgy.

Missions which use nuclear reactor power systems require radiation shielding of payload and/or crew areas to predetermined dose rates. Since shielding can become a significant fraction of the total mass of the system, it is of interest to show the effect of various parameters on shield thickness and mass for manned and unmanned applications. Algorithms were developed to give the thicknesses needed if reactor thermal power, separation distances, and dose rates are given as input. The thickness algorithms were combined with models for four different shield geometries to allow tradeoff studies of shield volume and mass for a variety of manned and unmanned missions. Shield design tradeoffs presented in this study include the effects of: higher allowable dose rates; radiation hardened electronics; shorter crew exposure times; shield geometry; distance of the payload and/or crew from the reactor; and changes in the size of the shielded area. Specific NASA missions that were considered in this study include unmanned outer planetary exploration, manned advanced/evolutionary Space Station, and advanced manned lunar base.

Missions which use nuclear reactor power systems require radiation shielding of payload and/or crew areas to predetermined dose rates. Since shielding can become a significant fraction of the total mass of the system, it is of interest to show the effect of various parameters on shield thickness and mass for manned and unmanned applications. Algorithms were developed to give the thicknesses needed if reactor thermal power, separation distances, and dose rates are given as input. The thickness algorithms were combined with models for four different shield geometries to allow tradeoff studies of shield volume and mass for a variety of manned and unmanned missions. Shield design tradeoffs presented in this study include the effects of: higher allowable dose rates; radiation hardened electronics; shorter crew exposure times; shield geometry; distance of the payload and/or crew from the reactor; and changes in the size of the shielded area. Specific NASA missions that were considered in this study include unmanned outer planetary exploration, manned advanced/evolutionary space station, and advanced manned lunar base.

This report consolidates research carried out at Clemson University and Stanford University where a series of measurements were undertaken to identify the man-made radiation present in four bands used by rather different services, namely, L1 Band (1563.42 1587.42 MHz), the Unified S-Band (2025 2110 MHz), the 2.4 GHz Industrial, Scientific and Medical (ISM) Band (2400 2482.50 MHz), and the 23.6-24.0 GHz Passive Sensing Band. Results show that there were distinctive differences in the measurement data in the frequency bands, which should be expected based on the function/regulation associated with each. The GPS L1 Band had little to none terrestrial man-made sources, but the ISM 2.4 GHz Band had a large number of man-made sources regardless of the site and the time. The Unified S Band showed mixed results depending on the sites. The Passive Sensing Band does not contain appreciable man-made radiation.

Missions which use nuclear reactor power systems require radiation shielding of payload and/or crew areas to predetermined dose rates. Since shielding can become a significant fraction of the total mass of the system, it is of interest to show the effect of various parameters on shield thickness and mass for manned and unmanned applications. Algorithms were developed to give the thicknesses needed if reactor thermal power, separation distances, and dose rates are given as input. The thickness algorithms were combined with models for four different shield geometries to allow tradeoff studies of shield volume and mass for a variety of manned and unmanned missions. Shield design tradeoffs presented in this study include the effects of: Higher allowable dose rates; radiation hardened electronics; shorter crew exposure times; shield geometry; distance of the payload and/or crew from the reactor; and changes in the size of the shielded area. Specific NASA missions that were considered in this study include unmanned outer planetary exploration, manned advanced/evolutionary space station, and advanced manned lunar base.

Kennewick Man, referred to as the Ancient One by Native Americans, is a male human skeleton discovered in Washington state (USA) in 1996 and initially radiocarbon-dated to 8340–9200 calibrated years BP1. His population affinities have been the subject of scientific debate and legal controversy. Based on initial study of cranial morphology it was asserted that Kennewick Man was neither Native American nor closely related to the Claimant Plateau tribes of the Pacific Northwest, who claimed ancestral relationship and requested repatriation under the Native American Graves Protection and Repatriation Act (NAGPRA). The morphological analysis was important to judicial decisions that Kennewick Man was not Native American and that therefore NAGPRA did not apply. Instead of repatriation, additional studies of the remains were permitted2. Subsequent craniometric analysis affirmed Kennewick Man to be more closely related to circumpacific groups such as the Ainu and Polynesians than he is to modern Native Americans2. In order to resolve Kennewick Man’s ancestry and affiliations, we have sequenced his genome to ~1× coverage and compared it to worldwide genomic data including the Ainu and Polynesians. We find that Kennewick Man is closer to modern Native Americans than to any other population worldwide. Among the Native American groups for whom genome wide data is available for comparison, several appear to be descended from a population closely related to that of Kennewick Man, including the Confederated Tribes of the Colville Reservation (Colville), one of the five tribes claiming Kennewick Man. We revisit the cranial analyses and find that, as opposed to genomic-wide comparisons, it is not possible on that basis to affiliate Kennewick Man to specific contemporary groups. We therefore conclude based on genetic comparisons that Kennewick Man shows continuity with Native North Americans over at least the last eight millennia. PMID:26087396

Drawing on the insights of Ruth Benedict and Abraham Maslow in their search for an ethical gauge by which to rate personal-social health, this article proposes synergistic man'' as the desired outcome model for counselors. (Author)

The investigations to develop a high altitude aircraft program plan are reported along with an analysis of manned comet and asteroid missions, the development of shuttle sortie mission objectives, and an analysis of major management issues facing the shuttle sortie.

... page: https://medlineplus.gov/news/fullstory_162700.html Cardiology Still a Man's Field, Survey Finds Women less ... Dr. Claire Duvernoy, chair of the Women in Cardiology Council at the American College of Cardiology (ACC). ...

QX MAN is a grid and solution file manipulation program written primarily for the PARC code and the GRIDGEN family of grid generation codes. QX MAN combines many of the features frequently encountered in grid generation, grid refinement, the setting-up of initial conditions, and post processing. QX MAN allows the user to manipulate single block and multi-block grids (and their accompanying solution files) by splitting, concatenating, rotating, translating, re-scaling, and stripping or adding points. In addition, QX MAN can be used to generate an initial solution file for the PARC code. The code was written to provide several formats for input and output in order for it to be useful in a broad spectrum of applications.

... and Sexual Side Effects in People with Cancer Sex and the Man With Cancer In this guide, ... you and your partner some information about cancer, sex, and sexuality. We cannot answer every question, but ...

during the same mission, the area under surveillance is subject to a chemical attack during a period of inclement weather, say low-level fog or rain...these potential fog -of-war situations occur that systems design, particularly manning, must be able to cope with the imposed load. This concept is...of some of the data, that is, because of the dispersion in manning values for the five systems chosen, a rank-based regression would provide a more

... page: //medlineplus.gov/ency/patientinstructions/000621.htm Delivery presentations To use the sharing features on this page, ... baby by cesarean birth (C-section) . Less Common Presentations With the brow-first position, the baby's head ...

A preliminary plan and procedure are presented for conducting an extended manned test program for a regenerative life support system. Emphasis will be placed on elements associated with long-term system operation and long-term uninterrupted crew confinement.

This article gives an account of the filarial parasites found in man and their potential transmissibility to and from other vertebrate animals under natural and experimental conditions. Those species that are regarded as being primarily parasites of other vertebrates, but which also infect man, are then dealt with in greater detail. These include the subperiodic strain of Brugia malayi and perhaps also B. pahangi, both of which are found in wild and domestic carnivores and monkeys, and Dirofilaria species of dogs and racoons. The Brugia parasites develop to maturity with the production of microfilaraemia and clinical manifestations in man similar to those caused by periodic B. malayi in man. Human dirofilariasis, on the other hand, represents a transmission cul-de-sac for the parasite. Clinical manifestations are mild or absent and generally the worms do not mature and, even if they do, they rarely give rise to microfilaraemia. D. immitis causes pulmonary dirofilariasis, and D. repens and D. tenuis give rise to subcutaneous nodules in man. The diagnosis of dirofilariasis depends on an awareness of the infection in the animal reservoirs and of the possibility of man being exposed to bites of infected vectors. ImagesFig. 2Fig. 3Fig. 4Fig. 5Fig. 6 PMID:314349

GENERAL THOMAS DRESSER WHITE: RENAISSANCE MAN IN A DARK AGE BY CHRIS WINKLEPLECK A THESIS PRESENTED TO THE FACULTY OF...remain a plebe but for a matter of months due to the shortened program. In all, his class spent only two years at the...short of swamp. No injury except for skinned finger and stiff back. Ambassador apparently calm and very decent about matter . He sent wires to the

The present article describes the best-studied extravisual effects of visible and ultraviolet light on humans and other mammals. It also considers the possible biological consequences to man of living in artificially lighted environments that differ significantly from the milieu in which he evolved. Cumulative evidence favors the beneficial influences of sunlight: vitamin D activation, plasma bilirubin elimination, inhibition of pineal melatonin synthesis, etc.

radius of the respective celestial body from any link distance output by STK for which the Sun or Earth (or both) was an endpoint. 5.2.4 Cost Model...Abstract Solar radiation storms present a significant threat to future manned missions to Mars and other bodies within the solar system. Due to the...relatively high likelihood, the robust body of background data available, and the adaptability of the analytic methods, concepts, and trade spaces to

The available information on the shielding of manned space vehicles against protons and alpha particles is summarized. The emphasis is placed on shielding against Van Allen belt protons and against solar-flare protons and alpha particles, but information on shielding against galactic cosmic rays is also presented. The approximation methods for use by nonexperts in the space shielding field are those that are standard in the space shielding literature.

The experience of cosmonauts who have participated in long-duration space flights has great value for solving problems connected with realization of the Martian manned mission. To study the cosmonauts' opinion in relation to the Martian crew size, professional specialization of crewmembers, duration of their joint training, the possible sources of psychological tension in the flight, etc., a special questionnaire has been developed. The results of the 11 Russian cosmonauts' survey are presented in this article.

Analytical and experimental investigations have been made to determine the landing-energy-dissipation characteristics for several types of landing gear for manned reentry vehicles. The landing vehicles are considered in two categories: those having essentially vertical-descent paths, the parachute-supported vehicles, and those having essentially horizontal paths, the lifting vehicles. The energy-dissipation devices discussed are crushable materials such as foamed plastics and honeycomb for internal application in couch-support systems, yielding metal elements as part of the structure of capsules or as alternates for oleos in landing-gear struts, inflatable bags, braking rockets, and shaped surfaces for water impact. It appears feasible to readily evaluate landing-gear systems for internal or external application in hard-surface or water landings by using computational procedures and free-body landing techniques with dynamic models. The systems investigated have shown very interesting energy-dissipation characteristics over a considerable range of landing parameters. Acceptable gear can be developed along lines similar to those presented if stroke requirements and human-tolerance limits are considered.

Teleoperation experiments at JPL have shown that advanced features in a telerobotic system are a necessary condition for good results, but that they are not sufficient to assure consistently good performance by the operators. Two or three operators are normally used during training and experiments to maintain the desired performance. An alternative to this multi-operator control station is a man-machine interface embedding computer programs that can perform some of the operator's functions. In this paper we present our first experiments with these concepts, in which we focused on the areas of real-time task monitoring and interactive path planning. In the first case, when performing a known task, the operator has an automatic aid for setting control parameters and camera views. In the second case, an interactive path planner will rank different path alternatives so that the operator will make the correct control decision. The monitoring function has been implemented with a neural network doing the real-time task segmentation. The interactive path planner was implemented for redundant manipulators to specify arm configurations across the desired path and satisfy geometric, task, and performance constraints.

Approximately 2 million people die each year from tuberculosis. One third of the world´s population is estimated to be infected with the tuberculosis bacillus, although only 5-10% will develop the disease in their lifetime. The disease progression risk depends on endogenous and exogenous factors. Indigenous communities are a high-risk group for infection and development of tuberculosis. In addition to factors such as geographical isolation, social and cultural neglect and malnutrition, susceptibility to genetic polymorphisms has been identified in them. Spinal tuberculosis is the most destructive form of the disease, which represents approximately half of all cases of skeletal tuberculosis. The case of an HIV negative, indigenous Colombian man is presented. His diagnosis was done based on clinical and image findings, and it was confirmed with the rapid molecular assay Genotype MTBDRplus® and IS6110 PCR.The culture in solid media was negative after 16 weeks. We briefly discuss the pathogenesis, diagnosis and treatment. Finally, we comment on some aspects of the situation of tuberculosis among indigenous Colombian communities.

We have all seen the Manned Maneuvering Unit (MMU) on television, in the newspaper, magazines and any number of other places. It is probably one of the most widely recognized articles ever put into orbit. This paper briefly describes the MMU. The description includes an overview of the controls and physical features and a discussion of the propulsion and electrical systems. Operational experience to date is briefly covered. The MMU was first used on STS 41-B for the first untethered space walk on February 7, 1984. Next usage was for the Solar Max mission on STS 41-C, followed by the retrieval of the Westar and Palapa communication satellites on mission STS 51-A in November, 1984. One of the "lessons learned" during these space operations was the need for enhanced performance by the MMU, and leads into a discussion of how that increased performance capability will be provided. Current work on a Propellant Tank Kit (PTK), which will provide enhanced performance, is shown. The PTK will provide sufficient propellant storage capability such that the MMU with PTK will have twice the previous delta velocity capability; i.e., double the MMU's maneuvering ability. Results of development testing in the NASA/JSC Weightless Environment Test Facility are included. Current status of PTK development is presented. This paper ends with a brief discussion of proposed space operations using the enhanced MMU performance in erecting space structures from the Space Shuttle, assembling and maintaining Space Station, rescue-transfer of astronauts and other space operations.

The present review aimed to suggest approaches to prospective medical problems related to the health maintenance of space crews during future manned interplanetary, particularly Martian, missions up to 2-3 years with a possible stay on a planet with gravity different from that on Earth. The approaches are based on knowledge so far obtained from our analysis of the medical support of long-term orbital flights up to one year, as well as on the consideration of specific conditions of interplanetary missions. These specific conditions include not only long-term exposure to microgravity, but also a prolonged stay of unpredictable duration (2-3 years) on board a spacecraft or on a planet without direct contact with Earth, and living in a team with a risk of psychological incompatibility and the impossibility of an urgent return to Earth. These conditions necessitate a highly trained medical person in the crew, diagnostic tools and equipment, psychophysiological support, countermeasures, as well as the means for urgent, including surgical, treatment on board a spacecraft or on a planet. In this review, the discussion was focused on the following predictable medical problems during an interplanetary mission; 1) unfavorable effects of prolonged exposure to microgravity, 2) specific problems related to Martian missions, 3) medical monitoring, 4) countermeasures, 5) psychophysiological support and 6) the medical care system.

The article traces the history of the feminist movement from the first Women's Rights Convention in Seneca Falls, New York, 1848, to the present. The social and historical elements which have influenced the movement are discussed. (Author/RM)

Presents an English translation of the first few pages, set in a Japanese internment camp in the U.S. during World War II, of a Japanese novel about the problems of dual nationality and personal identity. (KH)

The goal of the Information Presentation Directed Research Project (DRP) is to address design questions related to the presentation of information to the crew on flight vehicles, surface landers and habitats, and during extra-vehicular activities (EVA). Designers of displays and controls for exploration missions must be prepared to select the text formats, label styles, alarms, electronic procedure designs, and cursor control devices that provide for optimal crew performance on exploration tasks. The major areas of work, or subtasks, within the Information Presentation DRP are: 1) Controls, 2) Displays, 3) Procedures, and 4) EVA Operations.

The use of the manned orbit transfer vehicle (MOTV) for support of future space missions is defined. Some 20 generic missions are defined each representative of the types of missions expected to be flown in the future. These include the service and update of communications satellites, emergency repair of surveillance satellites, and passenger transport of a six man crew rotation/resupply service to a deep space command post. The propulsive and functional capabilities required of the MOTV to support a particular mission are described and data to enable the user to determine the number of STS flights needed to support the mission, mission peculiar equipment requirements, parametrics on mission phasing and requirements, ground and flight support requirements, recovery considerations, and IVA/EVA trade analysis are presented.

Substantiating data developed by a NASA-industry team (NIT) for subsequent NASA decisions on the 'right' set of manned transportation elements needed for human access to space are discussed. Attention is given to the framework for detailed definition of these manned transportation elements. Identifying and defining architecture evaluation criteria, i.e., attributes, specified the amount and type of data needed for each concept under consideration. Several architectures, each beginning with today's transportation systems, were defined using representative systems to explore future options and address specific questions currently being debated. The present solutions emphasize affordability, safety, routineness, and reliability. Key issues associated with current business practices were challenged and the impact associated with these practices quantified.

Manned thermal-vacuum tests of the Apollo spacecraft presented many first-time problems in the areas of test philosophy, operational concepts, and program implementation. The rationale used to resolve these problems is explained and examined critically in view of actual experience. The series of 12 tests involving 1517 hours of chamber operating time resulted in the disclosure of numerous equipment and procedural deficiencies of significance to the flight mission. Test experience and results in view of subsequent flight experience confirmed that thermal-vacuum testing of integrated manned spacecraft provides a feasible, cost-effective, and safe technique with which to obtain maximum confidence in spacecraft flight worthiness early in the program.

This paper provides an overview of the development of environmental revitalization techniques from their beginnings in caisson and submarine habitats, up to the present time. The use of CO2 adsorbents, such as LiOH and their application to the first U.S. manned spaceflight is described, together with the beginnings of the regenerable CO2 sorber technology using molecular sieves and its ultimate application to Skylab. The concepts and hardware systems used for atmospheric revitalization on all major U.S. ground-based manned tests is detailed, including CO2 reduction and O2 generation processes. Current research and development efforts are also outlined. The paper concludes with a detailed description of the recently completed SSP, the most advanced and complete ECS that has been fabricated to date.

Review of the feasibility of manned earth orbiting laboratories in the 1980s for solving problems identified with operational communication and navigation systems. A program of experiments recommended for implementation in the 1980 to 1990 period is presented. Equipment for conducting experiments is listed. Conceptual designs of laboratories which could be carried to orbit by the forthcoming NASA Space Shuttle Orbiter and then operated on orbit by an experimenter crew are discussed. Studies of the expected benefits, together with investigations of the configurations, mission considerations, and equipment selection result in the conclusion that manned communication/navigation research laboratories in earth orbit would be practical and effective, and that the experiments performed could derive meaningful information having application to future unmanned operational systems.

The results of an analytical study and assessment of state-of-the-art wash water reclamation technology for advanced manned spacecraft is presented. All non-phase-change unit operations, unit processes, and subsystems currently under development by NASA are considered. Included among these are: filtration, ultrafiltration, carbon adsorption, ion exchange, chemical pretreatment, reverse osmosis, hyperfiltration, and certain urea removal techniques. Performance data are given together with the projected weights and sizes of key components and subsystems. In the final assessment, a simple multifiltration approach consisting of surface-type cartridge filters, carbon adsorption and ion exchange resins receives the highest rating for six-man orbital missions of up to 10 years in duration.

This document presents the results of the second United States manned suborbital space flight. The data and flight description presented form a continuation of the information provided at an open conference held under the auspices of the National Aeronautics and Space Administration, in cooperation with the National Institutes of Health and the National Academy of Sciences, at the U.S. Department of State Auditorium on June 6, 1961. The papers presented herein generally parallel the presentations of the first report and were prepared by the personnel of the NASA Manned Spacecraft Center in collaboration with personnel from other government agencies, participating industry, and universities. The second successful manned suborbital space flight on July 21, 1961, in which Astronaut Virgil I. Grissom was the pilot was another step in the progressive research, development, and training program leading to the study of man's capabilities in a space environment during manned orbital flight. Data and operational experiences gained from this flight were in agreement with and supplemented the knowledge obtained from the first suborbital flight of May 5, 1961, piloted by Astronaut Alan B. Shepard, Jr. The two recent manned suborbital flights, coupled with the unmanned research and development flights, have provided valuable engineering nd scientific data on which the program can progress. The successful active participation of the pilots, in much the same way as in the development and testing of high performance aircraft, has. greatly increased our confidence in giving man a significant role in future space flight activities. It is the purpose of this report to continue the practice of providing data to the scientific community interested in activities of this nature. Brief descriptions are presented of the Project Mercury spacecraft and flight plan. Papers are provided which parallel the presentations of data published for the first suborbital space flight. Additional

The goal of the Information Presentation Directed Research Project (DRP) is to address design questions related to the presentation of information to the crew. In addition to addressing display design issues associated with information formatting, style, layout, and interaction, the Information Presentation DRP is also working toward understanding the effects of extreme environments encountered in space travel on information processing. Work is also in progress to refine human factors-based design tools, such as human performance modeling, that will supplement traditional design techniques and help ensure that optimal information design is accomplished in the most cost-efficient manner. The major areas of work, or subtasks, within the Information Presentation DRP for FY10 are: 1) Displays, 2) Controls, 3) Procedures and Fault Management, and 4) Human Performance Modeling. The poster will highlight completed and planned work for each subtask.

Introduces a project in which students teach about the importance of recycling and conservation by presenting demonstrations. Includes demonstrations on water, plastic, and other recycling products such as steel. (YDS)

At the 28th Plenary Meeting of the Committee on Space Research (COSPAR) in The Hague, The Netherlands, there was on June 28, 1990, a session of commission MF.1 on Impact of Human Expeditions to Mars, in which, among others, the benefits of manned Mars missions for the geological survey of Mars were discussed. The present commentary does not intend to discuss the pros and cons of manned space flight or of Mars exploration at large, but will reiterate some of the points made in that discussion concerning the justification of manned versus automated Mars exploration in the context of geologic sciences.

The goal of the Information Presentation Directed Research Project (DRP) is to address design questions related to the presentation of information to the crew. The major areas of work, or subtasks, within this DRP are: 1) Displays, 2) Controls, 3) Electronic Procedures and Fault Management, and 4) Human Performance Modeling. This DRP is a collaborative effort between researchers at Johnson Space Center and Ames Research Center.

A filterable agent was isolated from the blood and from washings of the upper respiratory passages of a young laboratory worker during a mild, acute, febrile illness. This agent was identified as a strain of Venezuelan equine encephalomyelitis virus. Circulating specific complement-fixing and neutralizing antibodies not present in sera withdrawn during the acute phase of illness were demonstrated in sera obtained during convalescence. A fellow laboratory worker who became similarly ill simultaneously also developed during convalescence specific circulating antibodies not present prior to illness. PMID:19871301

This article presents an interview with NCAA President Mark Emmert. President of the NCAA since October 2010, Dr. Mark Emmert is constantly engaged in a delicate balancing act, as he deals with the competing priorities and agendas of college presidents, coaches, athletic directors, boosters, sports agents, and the media, while trying to look out…

This satire presents a community college president's view of affirmative action through a blatantly chauvinistic literary "persona." Aspects of the Carnegie report are discussed, and four models of executive behavior are recommended for managing "intractable" females: the "Big Daddy/Little Woman Syndrome," the "Mother/Son Number," the "Boy's…

Progress is reported concerning the use of computer controlled graphical displays in the areas of radiaton diffusion and hydrodynamics, general...ventricular dynamics. Progress is continuing on the use of computer graphics in architecture. Some progress in halftone graphics is reported with no basic...developments presented. Colored halftone perspective pictures are being used to represent multivariable situations. Nonlinear waveform processing is

Observations are presented on the changes in the platelet count of patients during the treatment of Addisonian pernicious anaemia with vitamin B12, of thrombocytopenic purpura with prednisone, and of malignant disease with methotrexate. In each of these clinical situations, thrombocytopenia was succeeded, after a delay of a number of days, by a phase of thrombocytosis. PMID:5392350

The development of antimatter engines for spacecraft propulsion will allow man to expand to the nearest stellar neighbors such as the Alpha Centuri system. Compared to chemically powered rockets like the Apollo mission class which would take 50,000 years to reach the Centauri system, antimatter propulsion would reduce one way trip time to 30 years or less. The challenges encountered by manned interstellar travel are formidable. The spacecraft must be a combination of sublight speed transportation system and a traveling microplanet serving an expanding population. As the population expands from the initial 100 people to approximately 300, the terraformed asteroid, enclosed by a man-made shell will allow for expansion over its surface in the fashion of a small terrestrial town. All aspects of human life - birth; death; physical, emotional, and educational needs; and government and law must be met by the structure, systems, and institutions on-board.

The start of the Third Millennium will be highlighted by the establishment of man's extraterrestrial civilization with three technical cornerstones leading to the off-planet expansion of the human resource base. These are (1) the availability of compact energy sources for power and propulsion, (2) the creation of permanent manned habitats in space, and (3) the ability to process materials anywhere in the Solar System. In the 1990s and beyond, nuclear reactors could represent the prime source of both space power and propulsion. The manned and unmanned space missions of tomorrow will demand first kilowatt and then megawatt levels of power. Various nuclear power plant technologies will be discussed, with emphasis on derivatives from the nuclear rocket technology.

In a period where the space program budget is generally static at about 1/3 of the level reached during the Apollo program, manned planetary flight is not considered by NASA planners to be a realistic near term goal. Much of NASA's current planning is based on the perception that manned planetary flight would be more costly than the Apollo lunar landing. This paper demonstrates that with current technological improvements in avionics, structure, and space transportation, the landing of an American on Mars would cost only 1/3 to 2/3 of the lunar landing; on a per capita basis such a program would cost less than $200, compared to Apollo's $325 (all dollars in 1981 base). Given the fact that a manned Mars landing is the last such exploration feat left to this generation, the cost should clearly not be a major deterrent.

Pluvial lake deposits are found throughout western North America and are frequently used to reconstruct regional paleoclimate. In Death Valley, California, USA, we apply the beach particle technique (BPT) of Adams (2003), Sedimentology, 50, 565-577 and Adams (2004), Sedimentology, 51, 671-673 to Lake Manly deposits at the Beatty Junction Bar Complex (BJBC), Desolation Canyon, and Manly Terraces and calculate paleowind velocities of 14-27 m/s. These wind velocities are within the range of present-day wind velocities recorded in the surrounding area. Sedimentary structures and clast provenance at Desolation Canyon and the Manly Terraces indicate sediment transport from north to south. Lake level, based on the elevation of constructional features, indicates that the hill west of the BJBC was an island and that the BJBC spits formed during simple lake regression. The data are consistent with the hypothesis that the present wind regime (velocity and direction) formed the pluvial Lake Manly features.

This guide is intended for use in an eight-session course designed to develop the presentation skills required of persons employed in the manufacturing and service industries. The course is structured so that, upon its completion, students will be able to accomplish the following: identify the traits of good and bad speakers; research and organize…

The book concerns the history and the evolution of the Universe. It Concerns also to Space era, the history of the biological life on the Earth. The author is presenting his own evolutional point of view. He also is citting a number of important archeological sources, including the discovery by Taieb and Johanson of the skeleton "Lucy", the dissaperence of Dinosaurs, the concept of Panspermia

A study was conducted to analyze the reorientation of NASA programs in the post-Apollo period. The study is an external view of NASA by unbiased observers as an input to and aid in the decision making process concerning near and long term planning. The subjects discussed are: (1) the near-term NASA scenario; (2) organization of field centers; (3) planning activities; and (4) operational activities. A summary of the recommendations arising as a result of the study is presented.

NASA's Constellation Program is developing its next generation manned space systems for missions to the International Space Station (ISS) and the Moon. The Program is embarking on a path towards standards based Internet Protocol (IP) networking for space systems communication. The IP based communications will be paired with industry standard security mechanisms such as Internet Protocol Security (IPsec) to ensure the integrity of information exchanges and prevent unauthorized release of sensitive information in-transit. IPsec has been tested in simulations on the ground and on at least one Earth orbiting satellite, but the technology is still unproven in manned space mission situations and significant obstacles remain.

Further evidence for a diagnosis of the Elephant Man's condition is reviewed. It is known that the Elephant Man had "mocassin" lesions, hyperostoses of the skull, and absence of café-au-lait spots, all of which are characteristic of Proteus syndrome. Recently, questions have been raised about his skeletal findings and their relevance to neurofibromatosis. However, other skeletal diagnoses have been entertained, including Maffucci syndrome, Paget's disease of bone, pyarthrosis, and fibrous dysplasia. These diagnostic possibilities are discussed and evaluated critically. It is concluded that the skeletal findings are most consistent with Proteus syndrome and coincidental hip disease secondary to childhood trauma.

Otto Rank, one of Sigmund Freud's original followers, posited the existence of an "urge to immortality" as man's deepest drive. In his Psychology and the Soul, Rank traced the desire for immortality through four historical eras, with particular emphasis on the creativity of the hero and the artist. By the end of his life, Rank had not only repudiated orthodox psychoanalysis and developed then abandoned a psychology of the will, he had moved "beyond psychology" to a religious view of history and the nature of man.

The Earth's natural radiation environment poses a hazard to manned space activities directly through biological effects and indirectly through effects on materials and electronics. The following standard practices are indicated that address: (1) environment models for all radiation species including uncertainties and temporal variations; (2) upper bound and nominal quality factors for biological radiation effects that include dose, dose rate, critical organ, and linear energy transfer variations; (3) particle transport and shielding methodology including system and man modeling and uncertainty analysis; (4) mission planning that includes active dosimetry, minimizes exposure during extravehicular activities, subjects every mission to a radiation review, and specifies operational procedures for forecasting, recognizing, and dealing with large solar flaes.

Version 00 LADTAP II calculates the radiation exposure to man from potable water, aquatic foods, shoreline deposits, swimming, boating, and irrigated foods, and also the dose to biota. Doses are calculated for both the maximum individual and for the population and are summarized for each pathway by age group and organ. It also calculates the doses to certain representative biota other than man in the aquatic environment such as fish, invertebrates, algae, muskrats, raccoons, herons, and ducks using models presented in WASH-1258.

This study was undertaken to provide reference values of chemical element mass fractions in intact bone of Reference (European Caucasian) Man/Woman. The rib bone samples investigated were obtained from autopsies of 84 apparently healthy 15-58-year-old citizens (38 females and 46 males) of a non-industrial region in the Central European part of Russia who had suffered sudden death. The mass fractions (mg/kg given on a wet mass basis) of 69 elements in these bone samples were measured by using neutron activation analysis with high-resolution spectrometry of short-lived and long-lived radionuclides, particle-induced gamma-ray emission, inductively coupled plasma atomic emission spectrometry, and inductively coupled plasma mass spectrometry including necessary quality control measures. Using published and measured data, mass fraction values of the 79 elements for the rib bone have been derived. Based on accepted rib to skeleton mass fractions and reference values of skeleton mass for Reference Man, the elemental burdens in the skeleton were estimated. These results may provide a representative bases for establishing related reference values for the Russian Reference Man/Woman and for revising and adding current reference values for the International Commission on Radiological Protection. The data presented will also be very valuable for many other applications in radiation protection, radiotherapy radiation dosimetry, and other scientific fields.

Environmental health fundamentally addresses the physical, chemical, and biological risks external to the human body that can impact the health of a person by assessing and controlling these risks in order to generate and maintain a health-supportive environment. Environmental monitoring coupled with other measures including active and passive controls and the implementation of environmental standards (SMACs, SWEGs, microbial and acoustics limits) are used to ensure environmental health in manned spacecraft. NASA scientists and engineers consider environmental monitoring a vital component to an environmental health management strategy for maintaining a healthy crew and achieving mission success. Environmental monitoring data confirms the health of ECLS systems, in addition to contributing to the management of the health of human systems. Crew health risks associated with the environment were reviewed by agency experts with the goal of determining risk-based environmental monitoring needs for future NASA manned missions. Once determined, gaps in knowledge and technology, required to address those risks, were identified for various types of Exploration missions. This agency-wide assessment of environmental health needs will help guide the activities/hardware development efforts to close those gaps and advance the knowledge required to meet NASA manned space exploration objectives. Details of this assessment and findings are presented in this paper.

The research introduces MARTI (man-machine animation real-time interface) for the realization of natural human-machine interfacing. The system uses simple vocal sound-tracks of human speakers to provide lip synchronization of computer graphical facial models. We present novel research in a number of engineering disciplines, which include speech recognition, facial modeling, and computer animation. This interdisciplinary research utilizes the latest, hybrid connectionist/hidden Markov model, speech recognition system to provide very accurate phone recognition and timing for speaker independent continuous speech, and expands on knowledge from the animation industry in the development of accurate facial models and automated animation. The research has many real-world applications which include the provision of a highly accurate and 'natural' man-machine interface to assist user interactions with computer systems and communication with one other using human idiosyncrasies; a complete special effects and animation toolbox providing automatic lip synchronization without the normal constraints of head-sets, joysticks, and skilled animators; compression of video data to well below standard telecommunication channel bandwidth for video communications and multi-media systems; assisting speech training and aids for the handicapped; and facilitating player interaction for 'video gaming' and 'virtual worlds.' MARTI has introduced a new level of realism to man-machine interfacing and special effect animation which has been previously unseen.

present BurnMan, an open-source mineral physics toolbox to determine elastic properties for specified compositions in the lower mantle by solving an Equation of State (EoS). The toolbox, written in Python, can be used to evaluate seismic velocities of new mineral physics data or geodynamic models, and as the forward model in inversions for mantle composition. The user can define the composition from a list of minerals provided for the lower mantle or easily include their own. BurnMan provides choices in methodology, both for the EoS and for the multiphase averaging scheme. The results can be visually or quantitatively compared to observed seismic models. Example user scripts show how to go through these steps. This paper includes several examples realized with BurnMan: First, we benchmark the computations to check for correctness. Second, we exemplify two pitfalls in EoS modeling: using a different EoS than the one used to derive the mineral physical parameters or using an incorrect averaging scheme. Both pitfalls have led to incorrect conclusions on lower mantle composition and temperature in the literature. We further illustrate that fitting elastic velocities separately or jointly leads to different Mg/Si ratios for the lower mantle. However, we find that, within mineral physical uncertainties, a pyrolitic composition can match PREM very well. Finally, we find that uncertainties on specific input parameters result in a considerable amount of variation in both magnitude and gradient of the seismic velocities.

Malignant breast lymphoma is a rare condition and primary breast lymphoma is extremely rare in the male population. We present a case of a 26-year-old man (transgender) who presented with a large palpable mass in the right breast. This mass was rapidly growing in size associated with right axillary lymphadenopathy. Ultrasound and MRI findings were consistent with BIRADS IV lesion which was suspicious of malignancy. Core biopsy was performed and histopathology confirmed the diagnosis of primary non Hodgkin B cell lymphoma of the breast.

This case illustrates some of the issues that may affect a Latino patient’s presentation. Although the patient’s constellation of symptoms are classically representative of major depression, the patient also raises themes regarding the process of immigration, subsequent challenges in acculturation and identification with the host culture versus the culture of origin, and culture-specific notions about causes of symptoms. In addition to some of the special features of stigma in Latino cultures, the prominence of physical concerns in the presentation and the use of traditional healers contribute to the complexity of selecting appropriate interventions for this young man. PMID:24788283

The Manned Remote Work Station (MRWS) is a versatile piece of orbital construction support equipment which can support in-space construction in various modes of operation. Proposed near-term Space Shuttle mission support and future large orbiting systems support, along with the various construction modes of MRWS operation, are discussed. Preliminary flight subsystems requirements and configuration design are presented. Integration of the MRWS development test article with the JSC Mockup and Integration Facility, including ground-test objectives and techniques for zero-g simulations, is also presented.

Kallmann syndrome is named after Franz Joseph Kallmann, a German-born psychiatrist who described in 1944 twelve subjects from three families who presented with a syndrome of missed puberty, anosmia, and color blindness. Yet, several other eponyms for the same syndrome can be found in the literature. Despite the fact that Kallmann syndrome is the most recognized eponym, very little is known about the man for whom the syndrome is named. A biographical note on Franz Joseph Kallmann and his historical context is presented. PMID:27101217

Controlling microbial growth by injecting iodine (l2) into water supplies is a widely acceptable technique, but requires a specialized injection method for space flight. An electrochemical l2 injection method and l2 level monitor are discussed in this paper, which also describe iodination practices previously used in the manned space program and major l2 biocidal characteristics. The development and design of the injector and monitor are described, and results of subsequent experiments are presented. Also presented are expected vehicle penalties for utilizing the l2 injector in certain space missions, especially the Space Shuttle, and possible injector failure modes and their criticality.

Eccrine Angiomatous Hamartoma (EAH) is a benign rare skin neoplasm characterised histologically by abnormal proliferation of sweat glands and surrounding capillaries and other dermal elements like fatty lobules and hair. It usually presents at birth or in early childhood in the form of solitary nodules mostly affecting the extremities. Here, we report a case of angiomatous hamartoma over the face which presented as a cystic swelling in preauricular region in a 55-year-old man. The late onset and a rare site for presentation of EAH prompted us to report the case. There is not even a single case of EAH arising in the “preauricular” region, reported. PMID:27790478

The 1981 report describes current activities, publications and films, sources of financial support, and organizational overview of the University for Man (UFM), founded in 1967 in Manhattan, Kansas, on the concept of citizens learning from each other and involving themselves to affect their community. The organization is divided into three program…

Describes "The Ascent of Man," a course emphasizing science and human values. Detailed are some chemical topics covered in the course, and how these topics are used in other traditional chemistry courses. Topics discussed include alchemy, the chemical revolution, steam engines, the Manhattan project, and several bioethical problems. (CS)

Described is the Man in a Changing Society (MIS) project in which K-12 Swedish children use parish records to study and research local history. Church records in Sweden contain detailed information about individuals living during the 18th and 19th centuries. To make this information accessible to researchers, the Swedish church records are being…

Subject information, course instructions, and resource materials for a television course, "Man and Environment," are compiled in this student study guide. The interdisciplinary, modular course emphasizes the importance of such concerns as destruction of the environment and the declining quality of life while educating the public about…

THIS LABORATORY MANUAL, THE COMPANION VOLUME TO THE STUDENT'S TEXT FOR THE "MAN MADE WORLD" HIGH SCHOOL COURSE, CONTAINS 31 EXPERIMENTS DEALING WITH THE THEORY, CIRCUITRY, AND OPERATION OF COMPUTERS, AND RELATED TECHNOLOGY. THE COURSE WAS WRITTEN BY SCIENTISTS, ENGINEERS, AND EDUCATORS, AND IS INTENDED AS A PART OF THE CULTURAL CURRICULUM FOR ALL…

A ten-year research study designed a mechanized information system in the information processing field. Special attention was paid to implementation criteria entering into on-line retrieval through man-machine dialog from a remote typewriter or video terminal and four major areas were investigated: search strategies, machine stored indexer aids,…

pilots across a range of fleet mission-capable rates. Determination of actual optimum manning levels is sensitive to duration and prob- ability...33 3.3.4 Sortie Duration ...schedule repetition assumption is not applicable 15 to the long- duration bomber mission problem and unnecessary because the creation of detailed crew

Book 4 of "The Language of Man" series contains articles which deal with semantics, levels of language (including informal, formal and technical language, jargon, and gobbledygook), the hidden persuaders (advertising of merchandise and political candidates), and communications of the future (including the computer and other mass media now being…

Book 3 from "The Language of Man" textbook series contains four sections, each of which includes several articles. The articles cover semantics, use of the dictionary and encyclopedia, use of figurative language, and coping with the mass media. The sections are augmented with humorous features, examples from real life, and graphics. The style is…

Albert Schweitzer, the great missionary physician from the XXth century, had a versatile personality that integrated multiple talents, leading to the slightly frequent conjunction of the thinker with the man of action, and the humanist with the scientist and the artist. He studied all these disciplines in a brilliant manner: Philosophy, Theology, Music and Medicine; he was also a great scholar of Bach's work, Jesus Christ and the civilization history. In his maturity, this great man renounced to the fame and glory gained as intellectual and musician, to dedicate his life as a physician for the forgotten African natives. His deeply religious spirit allowed him to penetrate into the most recondite of the human soul; in his personality, he expressed in its entire dimension the eternally unsatisfied desire of the solitary man, against the immensity of the universe. His philosophy, based on the respect for life, was realized throughout the practice of the medical profession. His noble character and personality was based on the man as symbol, since it was not so much what he did helping people but what people could do to others due to him. His singular example represented a moral force in the world, superior to millions of men armed for a war. In 1953, he received the Nobel Peace Prize for his philanthropic work in Africa during more that fifty years, and for his deep love to the living beings. He was transformed in a perennial legend as the Lambaréné doctor.

An attempt is made to provide a comprehensive guide to design of the dialogues between man and computer that take place at computer terminals. Particular topics include problems with conventional alphanumeric dialogues, dialogues with sound and graphics, pyschological characteristics of computer terminal users, problems of designing dialogues for…

Architects, psychologists, geographers, and biologists discuss the impact of the physical environment on man, and his adaptation to it. Article titles are as follows--(1) Galloping Technology, A New Social Disease, (2) Stimulus and Symbol: The View from the Bridge, (3) The Physical Environment: A Problem for a Psychology of Stimulation, (4)…

This book for beginning readers highlights Robert Mazibuko, the "Tree Man," who spent his life teaching people how to enrich the soil and plant vegetables and trees. Born in South Africa in 1904, he lived on a farm, learning to work with livestock, raise crops, and share with the community. In college, his professor of agriculture…

This environmental education module focuses on forests and man, and contains a series of papers which deal with topics related to forest ecology and conservation. The module is designed around the four following ideas: (1) the kinds of plants and animals and the roles they have in the forest environment; (2) using concepts of food webs and energy…

The intricate causal relationships between disease in man and disease in animals first began to be elucidated in the mid-19th century. Although the connections between animal and human disease are now generally understood, individuals as well as societies remain slow to act on this knowledge. This paper examines the gradual recognition of these disease connections and explores the parallel theme of man's reluctance to appreciate the implications of these connections. It identifies factors that have inhibited the realization of the links between disease in man and animals, and discusses several milestones in the scientific elucidation of these links. Beginning with emerging concerns over the relationship between bovine and human tuberculosis in the 1860s, it follows the discovery of insect vectors, animal reservoirs, and the links between animals, influenza, and man. Despite warnings of the potential significance for human disease of patterns of changes in the relationship with animals and the natural world, scientists have continued to treat human and animal health as largely independent disciplines, while historians too have neglected this important aspect of human disease.

This volume is the first of three publications emanating from the American Institute of Planners' nationwide campaign to encourage study and public education on "the future environment of a democracy." Experts in many areas scrutinize the psychological, physiological, and social needs of modern man in an attempt to discover the kind of environment…

Diffuse panbronchiolitis (DPB) is an idiopathic inflammatory disease which is predominantly recognised in the Japanese population with only isolated case reports in Western populations. This is the first reported case of DPB in a Samoan man with typical radiological and histopathological features. He had an excellent response to long-term erythromycin and this case highlights the importance of recognising this rare disease.

Concepts derived from general man-environment system (MES) models are applied to the specific problem of nomadic sedentarization. The analysis focuses on the manner in which residential mobility may function as a central element in nomadic cultures. (Author/MA)

Kaufman attempts to identify essential characteristics that distinguish behavioral from nonbehavioral research in industrial relations. He argues that they are distinguished by the psychological model of man that is contained in the theoretical framework used to deduce or test hypotheses. Comments from Lewin, Mincer, and Cummings with Kaufman's…

Describes somatic and genetic manipulations of individual genotypes, using diabetes control as an example of the first mode that is potentially realizable be derepression or viral transduction of genes. Advocates the use of genetic engineering of the second mode to remove man from his biological limitations, but offers maxims to ensure the…

Since the first U.S. manned entry, Mercury (May 5, 1961), seventy-five manned entries have been made resulting in significant progress in the understanding and development of Thermal Protection Systems (TPS) for manned rated spacecraft. The TPS materials and systems installed on these spacecraft are compared. The first three vehicles (Mercury, Gemini, Apollo) used ablative (single-use) systems while the Space Shuttle Orbiter TPS is a multimission system. A TPS figure of merit, unit weight lb/sq ft, illustrates the advances in TPS material performance from Mercury (10.2 lb/sq ft) to the Space Shuttle (1.7 lb/sq ft). Significant advances have been made in the design, fabrication, and certification of TPS on manned entry vehicles (Mercury through Shuttle Orbiter). Shuttle experience has identified some key design and operational issues. State-of-the-art ceramic insulation materials developed in the 1970's for the Space Shuttle Orbiter have been used in the initial designs of aerobrakes. This TPS material experience has identified the need to develop a technology base from which a new class of higher temperature materials will emerge for advanced space transportation vehicles.

This textbook part of "The Language of Man" series, is intended for use in grade 11 and above. Its four sections, each of which contains several articles, deal with body language, developing vocabulary, the dialects of English (including features on New England, Midwestern, and Southern speech, Yiddish, Kentucky speech, the talk of the…

A one-year general education course entitled "Man and Environment" has been developed at Miami-Dade Junior College, Florida. Basic framework for the course was built on the premise that an interdisciplinary, module-structured course represents one of the better approaches to planning environmental education curriculum. Material for the…

As the literature is not exhaustive with reference to the way the Turin Shroud (TS) Man was crucified, and it is not easy to draw significant information from only a "photograph" of a man on a linen sheet, this study tries to add some detail on this issue based on both image processing of high resolution photos of the TS and on experimental tests on arms and legs of human cadavers. With regard to the TS Man hands, a first hypothesis states that the left hand of the TS Man was nailed twice at two different anatomical sites: the midcarpal joint medially to the pisiform between the lunate/pyramidal and capitate/uncinate bones (Destot's space) and the radiocarpal joint between the radio, lunate and scaphoid; also the right hand would have been nailed twice. A second hypothesis, preferred by the authors, states that the hands were nailed only once in the Destot's space with partial lesion of the ulnar nerve and flexion of the metacarpophalangeal joint of the thumbs. With regard to the TS Man feet, the imprint of the sole of the right foot leads to the conclusion that TS Man suffered a dislocation at the ankle just before the nailing. The entrance hole of the nail on the right foot is a few inches from the ankle, and excludes a double nailing. The nail has been driven between the tarsal bones. The TS Man suffered the following tortures during crucifixion: a very serious and widespread causalgia due to total paralysis of the upper right limb (paradoxical causalgia); a nailing of the left wrist with damage to the ulnar nerve; a similar nailing of the right wrist; and a nailing to both feet using one only nail that injured the plantaris medialis nerves. The respiratory limitation was probably not sufficient to cause death by asphyxiation. Also considering the hypovolemia produced by scourging and the many other tortures detectable on the TS, the principal cause of death can be attributed to a myocardial infarction.

As recent history has tragically demonstrated, a successful space mission is not complete until the crew has safely returned to earth and has been successfully recovered. It is noted that a safe return to earth does not guarantee a successful recovery. The focus of this presentation will be a discussion of the ground operation assets involved in a successful recovery. The author's experience in land and water-based recovery of crewed vehicles and flight hardware at Kennedy Space Center (KSC), Edwards Air Force Base, international landing sites, and the Atlantic Ocean provides for some unique insight into this topic. He has participated in many aspects of Space Shuttle landing and recovery operations including activation of Transatlantic Abort Landing (TAL) sites and Emergency Landing Sites (ELS) as an Operations Test Director, execution of post landing convoy operations as an Orbiter Move Director, Operations Test Director, and Landing and Recovery Director, and recovery of solid rocket boosters, frustum and their parachutes 140 miles offshore in a wide range of sea states as a Retrieval Diver/Engineer. The recovery operations for the Mercury, Gemini, and Apollo were similar from a landing and recovery perspective in th t they all were capsules with limited "flying" capability and had a planned End of Mission (EOM) in an ocean with a descent slowed by parachutes. The general process was to deploy swim teams via helicopters to prepare the capsule for recovery and assist with crew extraction when required. The capsule was then hoisted onto the deck of a naval vessel. This approach required the extensive use and deployment of military assets to support the primary landing zone as well as alternate and contingency locations. The Russian Soyuz capsule also has limited "flying" capability; however, the planned EOM is terrestrial. In addition to use of parachutes to slow the reentry descent, soft-landing rockets on the bottom of the vehicle are employed to cushion the

A 39-year-old manpresented with a 4-month history of unilateral blepharitis that did not respond to conventional treatment. Punch biopsy confirmed the diagnosis of discoid lupus erythematosus. Unilateral blepharitis as the only presenting sign of discoid lupus erythematosus is uncommon but should be considered in the differential diagnosis in patients with asymmetric blepharitis.

Located in the western Caribbean Sea to the northwest of Jamaica, the Cayman Islands are a British overseas territory comprised of three islands: Grand Cayman, Cayman Brac, and Little Cayman. These three islands occupy around 250 km2 of land area. In this work, historical and recent data were collected and classified to identify and rank the natural and man-made hazards that may potentially affect the Cayman Islands and determine the level of exposure of Grand Cayman to these events. With this purpose, we used the vulnerability assessment methodology developed by the North Caroline Department of Environment and Natural Resources. The different degrees of physical vulnerability for each hazard were graphically interpreted with the aid of maps using a relative scoring system. Spatial maps were generated showing the areas of different levels of exposure to multi-hazards. The more important natural hazard to which the Cayman Islands are exposed is clearly hurricanes. To a lesser degree, the islands may be occasionally exposed to earthquakes and tsunamis. Explosions or leaks of the Airport Texaco Fuel Depot and the fuel pipeline at Grand Cayman are the most significant man-made hazards. Our results indicate that there are four areas in Grand Cayman with various levels of exposure to natural and man-made hazards: The North Sound, Little Sound and Eastern West Bay (Area 1) show a very high level of exposure; The Central Mangroves, Central Bodden Town, Central George Town and the West Bay (Area 2) have high level of exposure; The Northwestern West Bay, Western Georgetown-Bodden Town, and East End-North Side (Area 3) are under moderate levels of exposure. The remainder of the island shows low exposure (Area 4). It is important to underline that this study presents a first evaluation of the main natural and man-made hazards that may affect the Cayman Islands. The maps generated will be useful tools for emergency managers and policy developers and will increase the overall

The students at the University of Houston College of Architecture undertook three synergistic studies during the 1987-1988 academic year. These studies included a Manned Lunar Outpost, a Manned Mars Explorer Mission, and an Antarctic Planetary Testbed which would provide the necessary data and facilities for testing proposed missions to the Moon, Mars and beyond. All research was based on existing or near-term technology.

A mathematical model of the waveform generated by man-made high frequency (HF) noise and interference is presented and discussed. The model is based on wideband (800 kHz) recordings of the noise and interference at various frequencies in the HF band. Representative examples of first- and higher-order statistics of the measured waveforms are described, including probability distributions of the envelope and phase of the noise and interference in the time and frequency domains, power spectra, autocorrelation functions, and level crossing distributions. The statistics of waveforms generated by the model closely resemble the statistics of the measured data.

This black and white video presentation covers the Skylab launch activities and docking with unmanned SL-1 workshop. Included are observations of student experiments (the Minchmog minnows and Arabella, the spider), observations of student experiments, exercise routines, and the enabling of the Earth Resources Experiments Package. Also shown is planet Earth documentation, manned operation of the Apollo Telescope Mount for observations of the Sun and beyond, outside EVA activity, testing of the Astronaut Maneuvering Unit, experiments to explore industrial uses of space, and the Skylab living routine.

A specific design is not presented, but the general philosophy regarding potential Environmental Control/Life Support System (ECLSS) requirements, concepts, issues, and technology needs are discussed. The focus is on a manned Mars mission occurring in the late 1990's. Discussions on the Trans-Mars Vehicle, the Mars Excursion Module (MEM), and a Martian base facility are covered. The functions, performance requirements, and design loads of a typical ECLSS are listed, and the issues and technology briefly discussed. Several ECLSS concepts and options are identified, and comparative weights and volumes are provided for these. Several aspects of the space station ECLSS are contrasted with the Mars element ECLSS.

Cough is often a distressing feature and may be caused due to varied reasons. A 39-year-old manpresented with complaints of cough and had significant pigeon exposure. His chest X-ray revealed mediastinal enlargement and computed tomography chest revealed air trapping and mediastinal lymphadenopathy. Both endobronchial and transbronchial biopsies revealed granulomas. Thus, the patient was diagnosed as a case of sarcoidosis and started on steroids. Hypersensitivity pneumonitis may often mimic sarcoidosis; however, the presence of endobronchial granulomas will diagnose the latter condition. PMID:27890996

Granuloma inguinale, or Donovanosis, is a rare, sexually transmitted ulcerative disease primarily affecting the genital area. In this report, we present a case of a 50-year-old man that was diagnosed with granuloma inguinale after a 2-month history of a penile ulcer. Histological analysis demonstrated the presence of Donovan bodies within macrophages, confirming the diagnosis. He was subsequently treated with trimethoprim/sulfamethoxazole with improvement in the ulcer. This case serves as a reminder to clinicians that although granuloma inguinale is rarely encountered in the US, it should still be suspected in patients with non-healing penile ulcers.

OF I NOV65 ;5 OSOLETE UNCIASSIFIED SECURITY CLASiFICATION OF THIS PAGE (litan Data ffntered) - _ up ow MN S CIU .CLASSIPV•ATION Or THIS PAGEII(hn Da.a...make. As an art, MMu design is best practiced by experts, by specialists experienced in the human engineering of man-computer systems. But such experts...some way to embody expert Judgment in the form of explicit procedures and guidelines[for MMI design.4 Present human engineering standards and design

A real time digital simulation of a STOL propulsion system was developed which generates significant dynamics and internal variables needed to evaluate system performance and aircraft interactions using manned flight simulators. The simulation ran at a real-to-execution time ratio of 8.8. The model was used in a piloted NASA flight simulator program to evaluate the simulation technique and the propulsion system digital control. The simulation is described and results shown. Limited results of the flight simulation program are also presented.

Aerobraking has been proposed as a critical technology for manned missions to Mars. The variety of mission architectures currently under consideration presents aerobrake designers with an enormous range of potential entry scenarios. Two of the most important considerations in the design of an aerobrake are the required control authority (lift-to-drag ratio) and the aerothermal environment which the vehicle will encounter. Therefore, this study examined the entry corridor width and stagnation-point heating rate and load for the entire range of probable entry velocities, lift-to-drag ratios, and ballistic coefficients for capture at both Earth and Mars. To accomplish this, a peak deceleration limit for the aerocapture maneuvers had to be established. Previous studies had used a variety of load limits without adequate proof of their validity. Existing physiological and space flight data were examined, and it was concluded that a deceleration limit of 5 G was appropriate. When this load limit was applied, numerical studies showed that an aerobrake with an L/D of 0.3 could provide an entry corridor width of at least 1 degree for all Mars aerocaptures considered with entry velocities up to 9 km/s. If 10 km/s entries are required, an L/D of 0.4 to 0.5 would be necessary to maintain a corridor width of at least 1 degree. For Earth return aerocapture, a vehicle with an L/D of 0.4 to 0.5 was found to provide a corridor width of 0.7 degree or more for all entry velocities up to 14.5 km/s. Aerodynamic convective heating calculations were performed assuming a fully catalytic, 'cold' wall; radiative heating was calculated assuming that the shock layer was in thermochemical equilibrium. Heating rates were low enough for selected entries at Mars that a radiatively cooled thermal protection system might be feasible, although an ablative material would be required for most scenarios. Earth return heating rates were generally more severe than those encountered by the Apollo vehicles

Many lobbyists in Washington have argued that artificial intelligence (AI) is an alternative to manned space activity. In actuality, this is the opposite of the truth, especially as regards artificial neural networks (ANNs), that form of AI which has the greatest hope of mimicking human abilities in learning, ability to interface with sensors and actuators, flexibility and balanced judgement. ANNs and their relation to expert systems (the more traditional form of AI), and the limitations of both technologies are briefly reviewed. A Few highlights of recent work on ANNs, including an NSF-sponsored workshop on ANNs for control applications are given. Current thinking on ANNs for use in certain key areas (the National Aerospace Plane, teleoperation, the control of large structures, fault diagnostics, and docking) which may be crucial to the long term future of man in space is discussed.

An integrated water vapor electrolysis (WVE) hydrogen depolarized CO2 concentrator (HDC) system sized for one man support over a wide range of inlet air conditions was designed, fabricated, and tested. Data obtained during 110 days of testing verified that this system can provide the necessary oxygen, CO2 removal, and partial humidity control to support one man (without exceeding a cabin partial pressure of 3.0 mmHg for CO2 and while maintaining a 20% oxygen level), when operated at a WVE current of 50 amperes and an HDC current of 18 amperes. An evaluation to determine the physical properties of tetramethylammonium bicarbonate (TMAC) and hydroxide was made. This provides the necessary electrolyte information for designing an HDC cell using TMAC.

A Manned Mars Mission (M3) design study is proposed. The purpose of M3 is to transport 10 personnel and a habitat with all required support systems and supplies from low Earth orbit (LEO) to the surface of Mars and, after an eight-man surface expedition of 3 months, to return the personnel safely to LEO. The proposed hardware design is based on systems and components of demonstrated high capability and reliability. The mission design builds on past mission experience, but incorporates innovative design approaches to achieve mission priorities. Those priorities, in decreasing order of importance, are safety, reliability, minimum personnel transfer time, minimum weight, and minimum cost. The design demonstrates the feasibility and flexibility of a Waverider transfer module.

Designs for manned and automatic versions of the Hermes maneuverable reentry system are outlined. The reentry glider would go piggyback or the launcher's upper stage, with its own autonomous avionics. A round trip to low Earth orbit would take 10 days, with a touchdown in Europe or Guyana. The form would be similar to the NASA shuttle. Reentry trajectory would ensure a constant flux density of 500 kw/sqm on the nose, with thermal protection keeping structural temperature below 175C. Hydrogen oxygen fuel cells would be used for auxiliary power. A 15 kN propulsion unit with sixteen 400N attitude control engines would be mounted astern, and twelve 400N engines forward. Ariane 4 is not considered powerful enough for Hermes, except for low, circular orbits. Ariane 5 could take a 50 cu m hold automatic version, or 70 cu m manned.

The ability to service satellites has thus far been limited to low earth orbit platforms within reach of the Space Shuttle. Other orbits, such as geosynchronous orbits containing high-value spacecraft have not been attainable by a servicing vehicle. The useful life of a satellite can be extended by replacing spent propellant and damaged orbital replacement units, forestalling the need for eventual replacement. This growing need for satellite on-orbits servicing can be met by the Manned On-Orbit Servicing Equipment (MOOSE). Missions requiring orbit transfer capability, precision manipulation and maneuvering, and man-in-the-loop control can be accomplished using MOOSE. MOOSE is a flexible, reusable, single operator, aerobraking spacecraft designed to refuel, repair, and service orbiting spacecraft. MOOSE will be deployed from Space Station Freedom, (SSF), where it will be stored, resupplied, and refurbished.

This paper seeks to determine whether the man-midwives William Smellie and William Hunter deserve continuing approbation as 'Founding Fathers' of the obstetrics profession. Scrutiny of their careers reveals their involvement in murders for dissection. In addition, the man-midwifery initiative of delivery in lying-in hospitals resulted in around 1 million more deaths in Britain and Ireland between 1730 and 1930, than would have occurred had home-births remained as the norm. While some may still credit Smellie and Hunter with obstetric discoveries, their knowledge was obtained by murder-for-dissection. That indictment, together with the lying-in hospital legacy, far outweighs their discoveries. The paper invites further constructive discussion and debate, but concludes the accolade of Founding Fathers is undeserved. Any continuing endorsement of Smellie and Hunter effectively demeans the high ethical standards and reputation of current obstetric professionals.

The trend of teleoperator development is toward digital computer controlled systems which utilize local sensor-computer-actuator loops to avoid obstacles and to sense manipulator grip-and-slip. The potential applications of advanced teleoperator technology to manned aerospace systems include long manipulator booms to be mounted on the shuttle. These can transfer cargo from the space shuttle and can acquire and retrieve objects in space. Free-flying teleoperators capable of acquiring, inspecting, repairing or refurbishing satellites in orbit are another space application. Another potential application of teleoperator technology is the concept of using an anthropomorphous teleoperator in lieu of man to control aircraft or spacecraft normally controlled by a human pilot.

From the analysis of its epistemological status, the article focuses on the philosophical fundament of bioethics, stressing the need for an authentic anthropology as a reference or starting point. Being an applied ethics, the first fundament of bioethics is in ethics. It shows how only personalistic ethics, which takes as reference the nature or essence of man, can offer objective and universal criteria. Philosophical anthropology studies man as a whole, in an integral manner, from the perspective of its nature or fundamental aspects of his being. It analyzes the distinction and relationship between the philosophical anthropology and the positive anthropologies, as well as with the physical, human and social sciences. Finally, it reflects on the current anthropological crisis and its ethical consequences.

The discussions of the Working Group (based in large part on working papers, which will shortly be published separately) are summarized. These papers cover a broad range of subjects which need to be addressed in the formulation of such a formidable enterprise as a manned Mars program. Science objective and operations; Mars surface infrastructure and activities; mission and system concepts and configurations; life sciences; impacts on the space infrastructure; and costs, schedules, and organizations are addressed.

Eliminating middlemen from security protocols helps less than one would think. EMV electronic payments, for example, can be made fairer by adding an electronic attorney - a middleman which mediates access to a customer’s card. We compare middlemen in crypto protocols and APIs with those in the real world, and show that a man-in-the-middle defence is helpful in many circumstances. We suggest that the middleman has been unfairly demonised.

Sleep patterns were monitored in one subject aboard each of the manned Skylab missions. In all three subjects stage 3 sleep increased during the flight and consistently decreased postflight. Stage REM was elevated, and REM latency decreased in the late postflight period. The number of awakenings remained the same or decreased during flight. No changes were observed which could be expected to adversely affect performance capability.

Second generation stations or Manned Space Habitats (MSHs) are discussed for an Earth-Moon libration point and in lunar orbit. The conceptual design of such a station is outlined. Systems and subsystems described reflect anticipation of moderate technology growth. The evolution of the L1 environments is discussed, several selected subsystems are outlined, and how the L1 MSH will complete some of its activities is described.

We report on the first two-photon in vivo brain tissue imaging study in man. High resolution in vivo histology by multiphoton tomography (MPT) including two-photon FLIM was performed in the operation theatre during neurosurgery to evaluate the feasibility to detect label-free tumor borders with subcellular resolution. This feasibility study demonstrates, that MPT has the potential to identify tumor borders on a cellular level in nearly real-time.

Over the last five decades there have been numerous studies devoted to developing, launching and conducting a manned mission to Mars by both Russian and U.S. organizations. These studies have proposed various crew sizes, mission length, propulsion systems, habitation modules, and scientific goals. As a first step towards establishing an international partnership approach to a Mars mission, the most recent Russian concepts are explored and then compared to NASA's latest Mars reference mission.

Over the last five decades there have been numerous studies devoted to developing, launching and conducting a manned mission to Mars by both Russian and U.S. organizations. These studies have proposed various crew sizes, mission length, propulsion systems, habitation modules, and scientific goals. As a first step towards establishing an international partnership approach to a Mars mission, the most recent Russian concepts are explored and then compared to NASA's current Mars reference mission.

Research issues and areas are identified where increased understanding of the human operator and the interaction between the operator and the avionics could lead to improvements in the performance of current and proposed helicopters. Both current and advanced helicopter systems and avionics are considered. Areas critical to man-machine interface requirements include: (1) artificial intelligence; (2) visual displays; (3) voice technology; (4) cockpit integration; and (5) pilot work loads and performance.

The Man craton in West Africa is an Archaean craton formerly joined to the Guyana craton (South America) that was rifted apart in the Mesozoic. Kimberlites of the Man craton include three Jurassic-aged clusters in Guinea, two Jurassic-aged clusters in Sierra Leone, and in Liberia two clusters of unknown age and one Neoproterozoic cluster recently dated at ˜800 Ma. All of the kimberlites irrespective of age occur as small pipes and prolific dykes. Some of the Banankoro cluster pipes in Guinea, the Koidu pipes in Sierra Leone and small pipes in the Weasua cluster in Liberia contain hypabyssal-facies kimberlite and remnants of the so-called transitional-facies and diatreme-facies kimberlite. Most of the Man craton kimberlites are mineralogically classified as phlogopite kimberlites, although potassium contents are relatively low. They are chemically similar to mica-poor Group 1A Southern African examples. The Jurassic kimberlites are considered to represent one province of kimberlites that track from older bodies in Guinea (Droujba 153 Ma) to progressively younger kimberlites in Sierra Leone (Koidu, 146 Ma and Tongo, 140 Ma). The scarcity of diatreme-facies kimberlites relative to hypabyssal-facies kimberlites and the presence of the so-called transitional-facies indicate that the pipes have been eroded down to the interface between the root and diatreme zones. From this observation, it is concluded that extensive erosion (1-2 km) has occurred since the Jurassic. In addition to erosion, the presence of abundant early crystallizing phlogopite is considered to have had an effect on the relatively small sizes of the Man craton kimberlites.

I was in Los Angeles airport, stuffing French fries into my mouth and waiting for a flight to Charlotte, North Carolina, when my phone buzzed. The e-mail was from the Science and Entertainment Exchange, a non-profit organization working to elevate the level of science in the movies, and it told me to report to Atlanta to consult on a new superhero movie: Ant-Man.

A number of medically oriented research and hardware development programs in support of manned space flights have been sponsored by NASA. Blood pressure measuring systems for use in spacecraft are considered. In some cases, complete new bioinstrumentation systems were necessary to accomplish a specific physiological study. Plans for medical research during the Skylab program are discussed along with general questions regarding space-borne health service systems and details concerning the Health Services Support Control Center.

A speech addressing the design of man machine systems for exploration of space beyond Earth orbit from the human factors perspective is presented. Concerns relative to the design of automated and intelligent systems for the NASA Space Exploration Initiative (SEI) missions are largely based on experiences with integrating humans and comparable systems in aviation. The history, present status, and future prospect, of human factors in machine design are discussed in relation to a manned voyage to Mars. Three different cases for design philosophy are presented. The use of simulation is discussed. Recommendations for required research are given.

.A recent discovery (8/14/92) of a near-earth object containing materials potentially useful for space activities could perhaps change the entire way humans access and operate in space. A near-Earth object ([number sign]4015, 1979 VA, comet Wilson-Harrington) contains water ice that could be used for space propulsion. In addition, this type of object may contain structural and lifesustaining materials (complex hydrocarbons, ammonia and/or bound nitrogen compounds) for space structures, manned planetary bases, or planetary surface terraforming. The retrieval and utilization of rocket propellant from near-Earth objects, for manned Mars missions in particular, has been investigated and the benefits of this scenario to over performing a Mars mission with terrestrial propellants have been documented. The results show water extracted from these objects and retrieved to Earth orbit for use in going to Mars may actually enable manned Mars exploration by reducing the number of Heavy Lift Launch Vehicle (HLLV) flights or eliminating the need for HLLV's altogether. The mission can perhaps be supported with existing launch vehicles and not required heavy lift capability. Also, the development of a nuclear thermal rocket for this alternate approach may be simplified substantially by reducing the operating temperature required.

It is argued that Freud was not, as Sulloway (1979) contends, a "crypto-biologist" of the mind, but rather a cultural anthropologist of the mind. Freud's genetic conception of the psychic apparatus was neither exclusively nor critically derived from biology. Rather, it was based on an anthropogenetic approach to the archaic heritage of mind inspired in part by the moral philosophy of Nietzsche. The idea of tragedy was the unifying theme of Freud's cultural interpretation of evolutionary psychology. The historical search for the primal origins of neurosis led Freud to the unavoidable conclusion that neurosis was in the beginning a prehistoric moral dilemma which, over the course of mental evolution, eventually evolved into guilt, discontent, and neurosis as modern-day phylogenetically endowed facts of life. Freud (1930) made it clear that the source of man's biological and cultural evolutionary progress--self-denial--was also responsible for the tragedy of the human condition, namely, repression, eternal psychic ambivalence, and chronic mental illness. He believed that neurosis began, as Nietzsche (1887) exclaimed, with the "reduction of the beast of prey 'man' to a tame and civilized animal..." (p. 42). For both Freud and Nietzsche, the cause of the human tragedy was not merely the fall from Nature, but the inexorable knowledge that Man's denial of his biological heritage was the very basis for being human.

A 25-year-old manpresented with a 2-month history of dysphagia and past history of pulmonary and intestinal tuberculosis. A barium swallow showed a point of constriction 42 mm above the gastroesophageal junction. Computed tomography revealed large opacities in bilateral lung fields, encroaching more on the esophagus. The lesion progressively compressed the esophagus as it moved inferiorly. A right posterolateral thoracotomy was performed for sub-anatomical resection of the mass. A biopsy revealed homogenous whirling hyalinized collagen fibers, highly suggestive of pulmonary hyalinizing granuloma, with no evidence of malignancy. Pulmonary hyalinizing granuloma should be considered in the differential diagnosis of longstanding dysphagia.

We present a multi-scale framework for man-made structures cuing in satellite image regions. The approach is based on a hierarchical image segmentation followed by structural analysis. A hierarchical segmentation produces an image pyramid that contains a stack of irregular image partitions, represented as polygonized pixel patches, of successively reduced levels of detail (LOOs). We are jumping off from the over-segmented image represented by polygons attributed with spectral and texture information. The image is represented as a proximity graph with vertices corresponding to the polygons and edges reflecting polygon relations. This is followed by the iterative graph contraction based on Boruvka's Minimum Spanning Tree (MST) construction algorithm. The graph contractions merge the patches based on their pairwise spectral and texture differences. Concurrently with the construction of the irregular image pyramid, structural analysis is done on the agglomerated patches. Man-made object cuing is based on the analysis of shape properties of the constructed patches and their spatial relations. The presented framework can be used as pre-scanning tool for wide area monitoring to quickly guide the further analysis to regions of interest.

Reciprocal translocations of autosomal chromosomes are present in about 1/625 men, yet often there are no symptoms except primary infertility. Abnormal segregation during meiosis often produces sperm and subsequent embryos with unbalanced translocations that often ultimately result in spontaneous abortions. We report on a 37-year-oldman and his 39-year-old wife who complained of primary infertility. Previous in vitro fertilization (IVF) had resulted in pregnancy, but two spontaneous abortions. Upon chromosomal testing, the man was diagnosed with a reciprocal translocation and his wife was diagnosed with mosaic Turner’s syndrome. Through testicular sperm extraction (TESE) and IVF with preimplantation genetic screening (PGS), they succeeded in having two healthy children. Since men with different karyotype abnormalities can have male infertility, we reviewed the literature and summarized the reproductive outcomes for men with both autosome and sex chromosomal karyotype abnormalities. PMID:26425238

The literary character of Don Juan has offered an opportunity to study certain characteristics in an adult man who began a behavior pattern in adolescence that resembled the legendary and mythical Don Juan. Power and dominating control issues were paramount defenses against a narcissistic depression in this man as seen in his relationships with women and in the transference relationship with me. The transference data have been put to use in providing a formulation for an explanation of the phenomena observed. Other clinical data concerning women and some homosexual men are presented in a more abbreviated fashion. This research effort is a retrospective construction of the dynamics that led to this man's neurosis. In my opinion, a self psychological interpretation offers the more felicitous fit than the classic oedipal interpretation. In fact, at first I tried interpretations based on classic oedipal theory--concerning issues of competition with me as father and fear of retaliation and castration--but this strategy resulted in little or no response. More important than symptomatic response, however, the data minimally and weakly supported those interpretations. To be sure, there were and still are competitive and phallic oedipal issues. Moreover, when the patient's mother died, he was drawn into a closer relationship with his father, a relationship accompanied by wishes and fantasies of taking his mother's place. These wishes were quite real, but, as the analysis preceeded, this negative oedipal configuration occupied a much less prominent place in the dynamics. Power and control issues dominated the clinical picture, masking a depression emanating from a deeper narcissistic focus. Interpretation of these narcissistic issues provided my patient with the relief he was seeking, while the main effect of the antidepressant medication was to help him sleep. By giving him something, a deeply seated wish was gratified and was in keeping with an idealized mother

A 25-year-old manpresented with low back pain and fever. After an initial delay, a diagnosis of tuberculosis of left sacroiliac joint was established by fine-needle aspiration of the joint. Awareness of extrapulmonary manifestations of tuberculosis and high index of suspicion will facilitate early diagnosis and treatment. Images Figure 1 Figure 2 PMID:16173335

A 77-year-old man, with a history of lymphoma, presented with isolated neck extensor weakness and a 2-year history of bilateral carpal tunnel syndrome (CTS). Needle electromyography showed myopathic changes, and biopsy of cervical paraspinal muscles showed amyloid deposition in blood vessels. Amyloidosis should be considered in the differential diagnosis of dropped head syndrome.

We report a man with biparietal foramina secondary to Potocki-Shaffer syndrome. This is due to incomplete ossification of parietal bones secondary to haploinsuffiency of ALX4 gene. He presented with multiple episodes of concussion following minimal head trauma. Cranioplasty was performed to close the skull defects with the aim of preventing further concussion and permanent traumatic brain injury.

This paper outlines the key parameters of the manned mission to Mars and presents some top-level requirements, issues, and constraints associated with a manned Mars mission that impact the life support system (LSS). Results are presented of a preliminary analysis for advanced LSSs based on physical/chemical reclamation processes, using as a baseline for the analysis the mission profile of a Split-Sprint class mission for an arrival date at Mars in the year 2009. Special attention is given to the potential cost savings as measured by reducing Mars spacecraft mass in LEO.

The Taurus Lightweight Manned Spacecraft (LMS) was developed by students of the University of Maryland's Aerospace Engineering course in Space Vehicle Design. That course required students to design an Alternative Manned Spacecraft (AMS) to augment or replace the Space Transportation System and meet the following design requirements: (1) launch on the Taurus Booster being developed by Orbital Sciences Corporation; (2) 99.9 percent assured crew survival rate; (3) technology cutoff data of 1 Jan. 1991; (4) compatibility with current space administration infrastructure; and (5) first flight by May 1995. The Taurus LMS design meets the above requirements and represents an initial step towards larger and more complex spacecraft. The Taurus LMS has a very limited application when compared to the Space Shuttle, but it demonstrates that the U.S. can have a safe, reliable, and low cost space system. The Taurus LMS is a short mission duration spacecraft designed to place one man into low earth orbit (LEO). The driving factor for this design was the low payload carrying capabilities of the Taurus Booster--1300 kg to a 300 km orbit. The Taurus LMS design is divided into six major design sections. The human factors system deals with the problems of life support and spacecraft cooling. The propulsion section contains the abort system, the Orbital Maneuvering System (OMS), the Reaction Control System (RCS), and power generation. The thermal protection systems and spacecraft structure are contained in the structures section. The avionics section includes navigation, attitude determination, data processing, communication systems, and sensors. The mission analysis section was responsible for ground processing and spacecraft astrodynamics. The systems integration section pulled the above sections together into one spacecraft and addressed costing and reliability.

The Taurus Lightweight Manned Spacecraft (LMS) was developed by students of the University of Maryland's Aerospace Engineering course in Space Vehicle Design. That course required students to design an Alternative Manned Spacecraft (AMS) to augment or replace the Space Transportation System and meet the following design requirements: (1) launch on the Taurus Booster being developed by Orbital Sciences Corporation; (2) 99.9 percent assured crew survival rate; (3) technology cutoff date of 1 Jan. 1991; (4) compatibility with current space administration infrastructure; and (5) first flight by May 1995. The Taurus LMS design meets the above requirements and represents an initial step toward larger and more complex spacecraft. The Taurus LMS has a very limited application when compared to the space shuttle, but it demonstrates that the U.S. can have a safe, reliable, and low-cost space system. The Taurus LMS is a short mission duration spacecraft designed to place one man into low Earth orbit (LEO). The driving factor for this design was the low payload carrying capabilities of the Taurus Booster - 1300 kg to a 300-km orbit. The Taurus LMS design is divided into six major design sections. The Human Factors section deals with the problems of life support and spacecraft cooling. The Propulsion section contains the Abort System, the Orbital Maneuvering System (OMS), the Reaction Control System (RCS), and Power Generation. The thermal protection systems and spacecraft structure are contained in the Structures section. The Avionics section includes Navigation, Attitude Determination, Data Processing, Communication systems, and Sensors. The Mission Analysis section was responsible for ground processing and spacecraft astrodynamics. The Systems Integration Section pulled the above sections together into one spacecraft, and addressed costing and reliability.

Although both the epidemiologic and experimental studies have led to the identification of chemical carcinogens, the limitations in epidemiologic approaches and the need for primary prevention of cancer require a greater reliance on experimental studies. Long-term carcinogenicity studies in experimental animals have been instrumental in identifying chemicals with carcinogenic activity, and, in some cases, the experimental evidence has preceded the epidemiologic evidence (for 4-aminobiphenyl, aflatoxin B1, diethylstilbestrol, melphalan, mustard gas, and vinyl chloride). A better understanding of the multistage process of carcinogenesis and the findings from various short-term tests available more recently may provide a more solid basis for extrapolating experimental findings to man.

Clicks and other acoustic stimuli evoke time-locked responses from the brain of man. The properties of the waves recordable within the interval from 1 to 10 msec after the stimuli strike the eardrum are discussed along with factors influencing the waves in the 100 to 500 msec epoch. So-called brainstem responses from a normal young adult are considered. No waves were observed for clicks to weak to be heard. With increasing stimulus strength the waves become larger in amplitude and their latency shortens.

Building manned lunar base is one of the core aims of human lunar exploration project, which is also an important way to carry out the exploitation and utilization of lunar in situ resources. The most important part of manned lunar base is the design and construction of living habitation and many factors should be considered including science objective and site selection. Through investigating and research, the scientific goals of manned lunar base should be status and characteristics ascertainment of lunar available in situ resources, then developing necessary scientific experiments and utilization of lunar in situ resources by using special environment conditions of lunar surface. The site selection strategy of manned lunar base should rely on scientific goals according to special lunar surface environment and engineering capacity constraints, meanwhile, consulting the landing sites of foreign unmanned and manned lunar exploration, and choosing different typical regions of lunar surface and analyzing the landform and physiognomy, reachability, thermal environment, sunlight condition, micro meteoroids protection and utilization of in situ resources, after these steps, a logical lunar living habitation site should be confirmed. This paper brings out and compares three kinds of configurations with fabricating processes of manned lunar base, including rigid module, flexible and construction module manned lunar base. 1.The rigid habitation module is usually made by metal materials. The design and fabrication may consult the experience of space station, hence with mature technique. Because this configuration cannot be folded or deployed, which not only afford limit working and living room for astronauts, but also needs repetitious cargo transit between earth and moon for lunar base extending. 2. The flexible module habitation can be folded in fairing while launching. When deploying on moon, the configuration can be inflatable or mechanically-deployed, which means under

Fanger, P. O. (1973).British Journal of Industrial Medicine,30, 313-324. Assessment of man's thermal comfort in practice. A review is given of existing knowledge regarding the conditions for thermal comfort. Both physiological and environmental comfort conditions are discussed. Comfort criteria are shown diagrammatically, and their application is illustrated by numerous practical examples. Furthermore, the effect on the comfort conditions of age, adaptation, sex, seasonal and circadian rhythm, and unilateral heating or cooling of the body is discussed. The term `climate monotony' is considered. A method is recommended for the evaluation of the quality of thermal environments in practice. Images PMID:4584998

Potential radiation hazards to crew members on manned Mars missions are discussed. It deals briefly with radiation sources and environments likely to be encountered during various phases of such missions, providing quantitative estimates of these environments. Also provided are quantitative data and discussions on the implications of such radiation on the human body. Various sorts of protective measures are suggested. Recent re-evaluation of allowable dose limits by the National Council of Radiation Protection is discussed, and potential implications from such activity are assessed.

The Health Maintenance Facility (HMF) requirements which enable/enhance manned Mars missions (MMMs) are addressed. It does not attempt to resolve any issues that may affect the feasibility of any given element in the HMF. Reference is made to current work being conducted in the design of the space station HMF. The HMF requirements are discussed within the context of two distinctly different scenarios: HMF as part of the Mars surface infrastructure, and HMF as part of the nine months translation from low Earth orbit to Mars orbit. Requirements for an HMF are provided, and a concept of HMF is shown.

A one man inflatable life raft is described. The raft has an inflatable tube perimetrically bounding the occupant receiving space with a flexible floor member. A zippered opening in the floor allows entry and facilitates the use of a constant diameter tube. An airtight fabric bulkhead divides the peripheral tube longitudinally into inflatable tube sections, where if either tube section were punctured, the bulkhead would move into the punctured section to substitute for the punctured wall portion and maintain the inflatable volume of the tube. The floor member is attached to the central portion of the tube wall so that either side of the raft can be the up side.

Consolidated Nuclear Security (CNS) Pantex took the initiative to organize a Review Panel of subject matter experts to independently assess the adequacy of the Pantex Tripping Man Analysis methodology. The purpose of this report is to capture the details of the assessment including the scope, approach, results, and detailed Appendices. Along with the assessment of the analysis methodology, the panel evaluated the adequacy with which the methodology was applied as well as congruence with Department of Energy (DOE) standards 3009 and 3016. The approach included the review of relevant documentation, interactive discussion with Pantex staff, and the iterative process of evaluating critical lines of inquiry.

Inasmuch as orf, milker's nodules and bovine papular stomatitis pox are clinically identical in man and are induced by currently indistinguishable parapox viruses, we propose a new generic term 'farmyard pox' for these diseases. This affords the clinician a diagnosis based on a common set of clinical and electron microscopic findings rather than one based on an uncertain or even misleading history. A case in point is reported in which the history failed to reveal a specific animal source of the virus, but electron microscopy confirmed the presence of parapox infection.

The kinetochore, located at the primary constriction or centromere in mammalian metaphase chromosomes, is the site of attachment of spindle microtubules to the mitotic chromosome, and is thus essential for correct chromosome movement and segregation at anaphase. Errors in organization of the kinetochore and/or centromere may therefore lead to non-disjunction and aneuploidy. The centromeres of most, if not all, mammalian chromosomes contain repetitive DNA sequences, which are observed at the cytogenetic level as heterochromatin. We have combined immunofluorescence with primed in situ hybridization (PRINS) techniques to study the organization of repetitive DNA families in relation to chromosomal proteins located at centromeres in both man and mouse species.

A formidable challenge in modern respiratory healthcare is the accurate and timely diagnosis of lung infection and inflammation. The EPSRC Interdisciplinary Research Collaboration (IRC) `Proteus' seeks to address this challenge by developing an optical fibre based healthcare technology platform that combines physiological sensing with multiplexed optical molecular imaging. This technology will enable in situ measurements deep in the human lung allowing the assessment of tissue function and characterization of the unique signatures of pulmonary disease and is illustrated here with our in-man application of Optical Imaging SmartProbes and our first device Versicolour.

Although there is a long history of consanguineous marriage in China, information on its prevalence is very limited. The Man (Qing) dynasty ruled China for over 250 years, but no consanguinity studies have been reported on this important population. The objective of the present investigation was to determine the present-day level of consanguineous marriage in the Man community, and to compare the data with existing consanguinity information on other Chinese populations. The study was conducted in a group of 11 rural Man communities in the north-eastern Chinese province of Liaoning. Household-based interviews were conducted by local staff on 513 couples, 418 of whom were Man with another 95 Man-Han inter-ethnic marriages. Basic pedigrees were constructed to determine the biological relationship between each set of spouses. Thirty of the 418 couples were in a consanguineous union, with a mean coefficient of inbreeding alpha = 0.0012. The small population sizes of the study may have contributed to the spatial variation in the patterns of inbreeding. Across generations there was a reduction in consanguineous marriages and an increase in inter-ethnic unions, which paralleled changes in civil marriage regulations.

The role of glucagon in regulating peripheral tissue metabolism in man was assessed in the present studies. To do this, glucagon was infused for two hours into the brachial artery to produce a high but physiologic increment in the glucagon content of arterial blood supplying ipsilateral tissues. Metabolic effects on muscle and on subcutaneous adipose tissue plus skin were sought in seven overnight-fasting subjects and seven subjects starved briefly (60 hours). In the overnight-fasted group the infusion increased bassl glucagon concentration by 1,216 pg./ml. but was without effect on forearm tissue metabolism of glucose, lactate,glycerol, or amino acids. Starvation significantly reduced basal insulin (11.0 to 7.4 muU./ml.) and increased endogenous glucagon (116 to 134 pg./ml.). Basally, there was substantial ketone utilization and a decrease in glucose consumption by both muscle and subcutaneous adipose tissue plus skin. The glucagon infusion increased basal glucagon by 784 pg./ml. Muscle balances of glucose, lactate, acetoacetate, amino acids, and glycerol were unaffected. The metabolism of glucose, lactate, acetoacetate, glycerol, and free fatty acids by subcutaneous adipose tissue plus skin was also unchanged. It is concluded that physiologic increments of glucagon lasting two hours are without effect on forearm tissues in overnight-fasted and briefly starved man.

The author has collaborated with NASA astronauts, scientists and engineers since 2006. Manned deep space missions, beyond the Moons orbit, are being planned in this post-Shuttle era. The spacecraft required for longer flights will have relatively restricted crew interior volume. To decrease the negative impact of these tight quarters, the author has proposed recruiting smaller astronauts (abbreviated SAs), persons about one-half the height of current near-Earth crewmembers. This includes achondroplastic dwarfs, lower extremity amputees and persons with certain height-reducing birth defects such as phocomelia. To overcome issues of physical competence, strength and mobility of SAs, the author describes using advanced cybernetic prostheses for those with limb amputations or deformities, and motorized exoskeletons for the others. Muscle and bone-sparing space exercise programs for SAs should be simpler. For example, a motorized exoskeleton used for routine duties in space would also provide both resistance workouts and passive range of motion conditioning for the astronauts, even while resting. Complex personalized artificial intelligence functions may be added. These initial suggestions previously presented to NASA offer a starting point for deep space manned missions to the asteroid belt, Mars and beyond.

Epidermal growth factor (EGF) is localised in man to salivary and Brunner's glands. It is present in large concentrations in saliva and duodenal contents but the mechanisms of its release have been little studied. This study carried out on four groups of healthy subjects was designed to determine the distribution and the release of immunoreactive EGF (IR-EGF) in salivary, gastric, duodenal, and pancreatic secretions. Under basal conditions, the concentrations of IR-EGF in salivary, gastric, duodenal and pancreatic secretions were; 2.7 (0.4), 0.42 (0.12), 21 (5) and 8.5 (1.2) ng/ml, respectively. Chewing of Parafilm* significantly increased salivary but not gastric or duodenal EGF output while atropinisation led to the reduction in basal salivary and duodenal EGF output without affecting the increment in EGF release induced by chewing. Cigarette smoking caused a marked reduction in basal salivary and duodenal EGF output. Infusion of pentagastrin increased salivary and duodenal EGF output and this was blocked by the addition of somatostatin. Injection of secretin lead to an increase in pancreatic output of EGF. We conclude that in man the major sources of EGF are salivary glands, duodenum, and pancreas and that the release of EGF remains under neurohormonal control. PMID:2806986

RNA is highly sensitive to the ionic environment, and typically requires Mg2+ to form compact structures. There is a need for models capable of describing the ion atmosphere surrounding RNA with quantitative accuracy. We present a model of RNA electrostatics and apply it within coarse-grained molecular dynamics simulation. The model treats Mg2+ ions explicitly to account for ion-ion correlations neglected by mean field theories. Since mean-field theories capture KCl well, it is treated implicitly by a generalized Manning counterion condensation model. The model extends Manning condensation to deal with arbitrary RNA conformations, non-limiting KCl concentrations, and the ion inaccessible volume of RNA. The model is tested against experimental measurements of the excess Mg2+ associated with the RNA, Γ2+, because Γ2+ is directly related to the Mg2+-RNA interaction free energy. The excellent agreement with experiment demonstrates the model captures the ionic dependence of the RNA free energy landscape. PMID:26197147

It is well known that the 'Fukaya category' is actually an A{sub {infinity}-}precategory in the sense of Kontsevich and Soibel'man. This is related to the fact that, generally speaking, the morphism spaces are defined only for transversal pairs of Lagrangian submanifolds, and higher multiplications are defined only for transversal sequences of Lagrangian submanifolds. Kontsevich and Soibel'man made the following conjecture: for any graded commutative ring k, the quasi-equivalence classes of A{sub {infinity}-}precategories over k are in bijection with the quasi-equivalence classes of A{sub {infinity}-}categories over k with strict (or weak) identity morphisms. In this paper this conjecture is proved for essentially small A{sub {infinity}-}(pre)categories when k is a field. In particular, this implies that the Fukaya A{sub {infinity}-}precategory can be replaced with a quasi-equivalent actual A{sub {infinity}-}category. Furthermore, a natural construction of the pretriangulated envelope for A{sub {infinity}-}precategories is presented and it is proved that it is invariant under quasi-equivalences. Bibliography: 8 titles.

The current ISS Water Recovery System (WRS) reclaims water from crew urine, humidity condensate, and Sabatier product water. Urine is initially processed by the Urine Processor Assembly (UPA) which recovers 75% of the urine as distillate. The remainder of the water is present in the waste brine which is currently disposed of as trash on ISS. For future missions this additional water must be reclaimed due to the significant resupply penalty for missions beyond Low Earth Orbit (LEO). NASA has pursued various technology development programs for a brine processor in the past several years. This effort has culminated in a technology down-select to identify the optimum technology for future manned missions. The technology selection is based on various criteria, including mass, power, reliability, maintainability, and safety. Beginning in 2016 the selected technology will be transitioned to a flight hardware program for demonstration on ISS. This paper summarizes the technology selection process, the competing technologies, and the rationale for the technology selected for future manned missions.

Nasal pungency thresholds (NPT) in man have been determined by Cometto-Muniz and Cain for 44 varied compounds, including esters, aldehydes, ketones, alcohols, carboxylic acids, aromatic hydrocarbons and pyridine. With the exclusion of acetic acid, 43 of these NPT values are well correlated through the general linear free energy equation of Abraham, leading to the algorithm, log(1/NPT) = -8.519 + 2.154 pi(2)H + 3.522 sigma alpha(2)H + 1.397 sigma beta(2)H + 0.860 logL16. N = 43, r2 = 0.955, SD = 0.27, F = 201 (i) where the independent variables are solute descriptors: pi(2)H is the dipolarity/polarizability, sigma alpha(2)H and sigma beta(2)H are the overall or effective hydrogen-bond acidity and basicity, and L16 is the solute Ostwald solubility coefficient on hexadecane at 25 degrees C. Surprisingly, the aliphatic aldehydes and carboxylic acids fit the correlation and with respect to nasal pungency thresholds in man for brief (1-3 s) presentations must be regarded as 'nonreactive' compounds. It is suggested mere transport of the compound from the air stream to the receptor area largely determines the potency to produce pungency. Various chemical properties of the receptor area are deduced from the coefficients in Eq. i.

Investigation of electromagnetic measurements in the VLF range, obtained by DEMETER satellite revealed that terrestrial navigational stations are clearly "visible" in the ionosphere. Statistical studies were performed in the frequency range between 10kHz and 20kHz for one component of electric and magnetic field. We used data collected with ICE and IMSC in-struments placed on-board DEMETER. Global maps of man-made emissions show significant ionospheric response. This first satellite from the CNES MYRIADE micro-satellite series was launched on a polar orbit in June 2004 and provides permanent in-situ observations of ionospheric plasma parameters at the altitude of 700 km. As there are now more than five years of operational data a statistical study on both, the bulk ionospheric parameters and electromagnetic emissions, is possible. Since, statistical analysis have shown how easily are detectable man-made signals in the ionosphere, it has implied further studies on other plasma parameters. Using Langmuir probe experiment ISL ("Instrument Sonde de Langmuir") we develop global maps for electron temperature and density. Data are represented in geographic coordinates and averaged over one-month period. We present comparison analysis, that give the statistical background for further studies of noises occurring in the upper layers of ionosphere.

A 51-year-old man was admitted for evaluation and treatment of scrotal pain of 20 years' duration following unilateral orchiectomy for right testicular injury. Past attempts had failed to provide definitive or persistent relief. Physical examination and investigations were unremarkable. Psychiatric assessment revealed an angry, depressed man with a drasmatic, hypermasculine manner and hysterical and obsessive personality traits. Review of systems with a structured interview indicated that the patient had numerous medically unexplained symptoms and that he fulfilled both the Feighner and the Diagnostic and Statistical Manual of Mental Disorders 3rd edition (DSM-III) diagnostic criteria for Briquet syndrome. The case is important because it demonstrates the usefulness of recognizing Briquet syndrome in patients with the single presenting complaint of chronic, intractable pain, and the fact that Briquet syndrome, commonly considered a female disorder, can occur in men regardless of sexual orientation and in the absence of expected compensation. In addition, the case confirms the utility of a structured interview and defined criteria for making the diagnosis of Briquet syndrome.

Manned space missions to Mars require consideration of the effects of high radiation doses produced by solar particle events (SPE). Without some provision for protection, the radiation doses from such events can exceed standards for maximum exposure and may be life threatening. Several alternative ways of providing protection require a capability for predicting SPE in time to take some protective actions. The SPE may occur at any time during the eleven year solar cycle so that two year missions cannot be scheduled to insure avoiding them although they are less likely to occur at solar minimum. The present forecasts are sufficiently accurate to use for setting alert modes but are not accurate enough to make yes/no decisions that have major mission operational impacts. Forecasts made for one to two year periods can only be done as probabilistic forecasts where there is a chance of SPE occurring. These are current capabilities but are not likely to change significantly by the year 2000 with the exception of some improvement in the one to ten day forecasts. The effects of SPE are concentrated in solar longitudes near where their parent solar flares occur, which will require a manned Mars mission to carry its own small solar telescope to monitor the development of potentially dangerous solar activity. The preferred telescope complement includes a solar X-ray imager, a hydrogen-alpha scanner, and a solar magnetograph.

New surgical procedures, novel concepts, and/or the presentation of very good results with an apparently discredited technique meet varying degrees of resistance among the establishment of any profession. In hand surgery this phenomenon was exemplified in a striking fashion with the presentation of a controversial report entitled, "Primary repair of flexor tendons in no man's land" by Kleinert, Kutz, Ashbell, and Martinez of Louisville, KY, at the 1967 American Society for Surgery of the Hand (ASSH) annual meeting. The discussant, Joseph Boyes, expressed such skepticism that a special ASSH committee was appointed to go to Louisville and review the results to determine if they were as good as claimed. They were, and today primary flexor tendon repair is the procedure of choice for most flexor tendon lacerations.

Using whole-exome sequencing, we identified homozygous mutations in two unlinked genes, SEC23A c.1200G>C (p.M400I) and MAN1B1 c.1000C>T (p.R334C), associated with congenital birth defects in two patients from a consanguineous family. Patients presented with carbohydrate-deficient transferrin, tall stature, obesity, macrocephaly, and maloccluded teeth. The parents were healthy heterozygous carriers for both mutations and an unaffected sibling with tall stature carried the heterozygous mutation in SEC23A only. Mutations in SEC23A are responsible for craniolenticosultura dysplasia (CLSD). CLSD patients are short, have late-closing fontanels, and have reduced procollagen (pro-COL1A1) secretion because of abnormal pro-COL1A1 retention in the endoplasmic reticulum (ER). The mutation we identified in MAN1B1 was previously associated with reduced MAN1B1 protein and congenital disorders of glycosylation (CDG). CDG patients are also short, are obese, and have abnormal glycan remodeling. Molecular analysis of fibroblasts from the family revealed normal levels of SEC23A in all cells and reduced levels of MAN1B1 in cells with heterozygous or homozygous mutations in SEC23A and MAN1B1. Secretion of pro-COL1A1 was increased in fibroblasts from the siblings and patients, and pro-COL1A1 was retained in Golgi of heterozygous and homozygous mutant cells, although intracellular pro-COL1A1 was increased in patient fibroblasts only. We postulate that increased pro-COL1A1 secretion is responsible for tall stature in these patients and an unaffected sibling, and not previously discovered in patients with mutations in either SEC23A or MAN1B1. The patients in this study share biochemical and cellular characteristics consistent with mutations in MAN1B1 and SEC23A, indicating a digenic disease. PMID:27148587

Erect posture in man is a recent affordance from an evolutionary perspective. About eight million years ago, the stock from which modern humans derived split off from the ape family, and from around sixty-thousand years ago, modern man developed. Upright gait and manipulations while standing pose intricate cybernetic problems for postural control. The trunk, having an older evolutionary history than the extremities, is innervated by medially descending motor systems and extremity muscles by the more recent, laterally descending systems. Movements obviously require concerted actions from both systems. Research in rats has demonstrated the interdependencies between postural control and the development of fluent walking. Only 15 days after birth, adult-like fluent locomotion emerges and is critically dependent upon postural development. Vesttibular deprivation induces a retardation in postural development and, consequently, a retarded development of adult-like locomotion. The cerebellum obviously has an important role in mutual adjustments in postural control and extremity movements, or, in coupling the phyiogenetic older and newer structures. In the human, the cerebellum develops partly after birth and therefore is vulnerable to adverse perinatal influences. Such vulnerability seems to justify focusing our scientific research efforts onto the development of this structure. PMID:16097476

GridMan is an interactive grid manipulation system. It operates on grids to produce new grids which conform to user demands. The input grids are not constrained to come from any particular source. They may be generated by algebraic methods, elliptic methods, hyperbolic methods, parabolic methods, or some combination of methods. The methods are included in the various available structured grid generation codes. These codes perform the basic assembly function for the various elements of the initial grid. For block structured grids, the assembly can be quite complex due to a large number of clock corners, edges, and faces for which various connections and orientations must be properly identified. The grid generation codes are distinguished among themselves by their balance between interactive and automatic actions and by their modest variations in control. The basic form of GridMan provides a much more substantial level of grid control and will take its input from any of the structured grid generation codes. The communication link to the outside codes is a data file which contains the grid or section of grid.

Fourteen monogenic cutaneous disorders of man are compared to similar gene defects in animals. The traits are classified into two groups. In the first group, an identity (homology) of the underlying gene defects is likely. This group includes oculo-cutaneous albinism, Chédiak-Higashi syndrome, aplasia cutis congenita, Ehlers-Danlos syndrome (type I), hypohidrotic ectodermal dysplasia of the Christ-Siemens-Touraine type, X-linked dominant chondrodysplasia punctata, ichthyosis congenita gravis, Menkes syndrome, erythropoetic porphyria, porphyria cutanea tarda, and acrodermatitis enteropathica. In the second group, the traits are similar but the question of their homology cannot be settled. It includes alopecia congenita, hidrotic ectodermal dysplasia of the Clouston type, and hereditary lymphedema. The existence of identical mutations in man and animals provides evidence for the close relationship between the various mammalian species. Homologous traits affecting the skin are of practical importance since the use of these animal models may help to answer those questions which cannot be answered by performing research in human patients.

The radiation environment encountered by manned interplanetary missions can have a severe impact on both vehicle design and mission performance. This study investigates the potential impact of radiation protection on interplanetary vehicle design for a manned Mars mission. A systems approach was used to investigate the radiation protection requirements of the sum interplanetary environment. Radiation budgets were developed which result in minimum integrated shielding system masses for both nuclear and non-nuclear powered missions. A variety of system configurations and geometries were assessed over a range of dose constraints. For an annual dose equivalent rate limit of 50 rem/yr, an environmental shielding system composed of a habitat shield and storm shelter was found to result in the lowest total mass. For a limit of 65 rem/yr, a system composed of a sleeping quarters shield was least massive, and resulted in significantly reduced system mass. At a limit of 75 rem/yr, a storm shelter alone was found to be sufficient, and exhibited a further mass reduction. Optimal shielding system results for 10 MWe nuclear powered missions were found to follow along similar lines, with the addition of a reactor shadow shield. A solar minimum galactic cosmic ray spectrum and one anomalously large solar particle event during the course of a two year mission were assumed. Water was assumed for environmental radiation shielding.

We report a case of spontaneous spinal epidural abscess (SEA) with initial chief complaint of shoulder pain and no appreciable neurologic symptoms. Since outcomes of SEA appear to be related to the degree of neurologic deficit at the time of intervention, we explore opportunities for earlier diagnosis.

Skin barrier dysfunction exists in both human and canine atopic dermatitis, leading to increased water loss and potentially facilitating allergen penetration and sensitization. Both lipid (e.g. ceramides) and protein (e.g. filaggrin) abnormalities have been described. Some are genetically inherited (e.g. filaggrin mutations are one of the major risk factors in humans) and some are secondary and linked to inflammation. In humans, numerous studies have shown efficacy of emollients and moisturizers in barrier restoration, and this approach has been for years the mainstay of therapy. Recently, this strategy has shown promise as a preventative function. In veterinary medicine, evidence regarding skin barrier impairment is rapidly building. Decreased ceramides and filaggrin (in some subsets of dogs) have been described. Altered metabolism of ceramides has also been proposed. Despite these preliminary data and the availability of products marketed to improve the skin barrier, evidence regarding the clinical benefit of skin repair intervention is still limited. Preliminary studies have demonstrated that topical application of fatty acids and ceramides and systemic administration of fatty acids improve lipid deficiencies in the skin of dogs with atopic dermatitis, but limited clinical evidence exists. Disease remission in humans is paralleled by an improved skin barrier, both with calcineurin inhibitors and glucocorticoids. In veterinary medicine, a preliminary study on ciclosporin and prednisone failed to detect significant improvement of water loss, while successful immunotherapy correlated with an improved skin barrier. Controlled, large studies are needed to address the question of which skin repair approach is clinically most effective and whether this can be used as a preventative strategy.

As the 21st century approaches, there is an ever-increasing interest in launching manned missions to Mars. A major concern to mission planners is exposure of the flight crews to highly penetrating and damaging space radiations. Beyond the protective covering of the Earth's magnetosphere, the two main sources of these radiations are galactic cosmic rays and solar particle events. Preliminary analyses of potential exposures from galactic cosmic rays (GCR's) were presented elsewhere. In this Note, estimates of shielding thicknesses required to protect astronauts on interplanetary missions from the effects of large solar flare events are presented. The calculations use integral proton fluences for the February 1956, November 1960, and August 1972 solar particle events as inputs into the NASA Langley Research Center nucleon transport code BRYNTRN. This deterministic computer code transports primary protons and secondary protons and neutrons through any number of layers of target material of arbitrary thickness and composition. Contributions from target nucleus breakup (fragmentation) and recoil are also included. The results for each flare are presented as estimates of dose equivalent [in units of roentgen equivalent man (rem)] to the skin, eye, and bloodforming organs (BFO) behind various thicknesses of aluminum shielding. These results indicate that the February 1956 event was the most penetrating; however, the August 1972 event, the largest ever recorded, could have been mission- or life-threatening for thinly shielded (< or = 5 g/cm2) spacecraft. Also presented are estimates of the thicknesses of water shielding required to reduce the BFO dose equivalent to currently recommended astronaut exposure limits. These latter results suggest that organic polymers, similar to water, appear to be a much more desirable shielding material than aluminum.

We hereby present the case of a 25-year-old man who presented at the emergency department of Civil Hospital Karachi, Pakistan with signs and symptoms of acute viral hepatitis. Serology tests revealed that the patient was suffering from hepatitis E viral (HEV) infection. Concurrently, the patient was also found to have thrombocytopaenia (TCP). His TCP became better after the resolution of his jaundice, with the patient requiring a transfusion of one mega unit of platelets. After ruling out other common causes of TCP and after a thorough literature search, we concluded that an immune-mediated mechanism secondary to HEV infection might have been the cause behind his low platelet counts. Hence, we propose considering the possibility of HEV infection in patients presenting with acute liver failure and TCP, irrespective of age, gender, and geographical location of the patient.

This article reports a case of colovesical fistula presenting with epididymitis. A 75-year-old man with a recent conservatively managed localised diverticular perforation presented to hospital with acute pain and swelling of his left testicle and epididymis. On further questioning, the patient reported passing air in his urine. Urine cultures grew Enterococcus faecalis. Ultrasound scan confirmed a diagnosis of bacterial epididymitis and the patient was treated with intravenous antibiotics. Subsequent CT imaging revealed air in the bladder and a colovesical fistula. The patient went on to have Hartmann's procedure with repair of the bladder defect. This case highlights that: (1) Colovesical fistulae may rarely present with epididymitis. (2) Colovesical fistulae are the most common cause of pneumaturia.

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Men in the United States are products of society's assumptions about what it means to "be a man." Throughout American history, these assumptions have supported aggression, conflict, and war. Seeing American troops in Iraq conjures comparisons not only to past military ventures but also to the changing face of the masculine warrior. One might see…

The alternate methods of conducting a man-machine interface evaluation are classified as static and dynamic, and are evaluated. A dynamic evaluation tool is presented to provide for a determination of the effectiveness of the man-machine interface in terms of the sequence of operations (task and task sequences) and in terms of the physical characteristics of the interface. This dynamic checklist approach is recommended for shuttle and shuttle payload man-machine interface evaluations based on reduced preparation time, reduced data, and increased sensitivity of critical problems.

This study aims to reveal how the real condition of management of Madrasah Aliyah Negeri (MAN) or Islamic Senior High School in Serang is, how the understanding of Madrasah-Based Management (MBM) for the people of MAN 2 and MAN 1 Serang is, and how the implementation of MBM in MAN 2 and MAN 1 Serang. This study has a substantial meaning, both…

The full potential of state-of-the-art space radiation dose analysis for manned missions has not been exploited. Point doses have been overemphasized, and the critical dose to the bone marrow has been only crudely approximated, despite the existence of detailed man models and computer codes for dose integration in complex geometries. The method presented makes it practical to account for the geometrical detail of the astronaut as well as the vehicle. Discussed are the major assumptions involved and the concept of applying the results of detailed proton dose analysis to the real-time interpretation of on-board dosimetric measurements.

Fibroadenoma of the breast is an uncommon cause of breast lumps in men. Only a few cases have been reported in the literature, the majority of which were prescribed estrogen. We present herein the first case of a fibroadenoma of the breast in a 68-year-old man with adenocarcinoma of the rectum and polyposis coli. In this case, there was neither estrogen treatment nor any other medications which have been discussed in the literature as inducing fibroadenomas. Fibroadenomas in men without hormone treatment and with normal hormone levels are extremely rare and the developmental mechanism of the breast fibroadenoma in this man is under question.

The cost estimates, schedule data, and funding distributions generated in the Manned Orbital Systems Concepts (MOSC) study are presented. The overall objectives were to examine the requirements for, and to describe, a cost-effective concept for an orbital facility capable of supporting manned operations in earth orbit beyond the 7-to-30-day mission duration provided by the Shuttle/Spacelab system. The cost, schedule, and other programmatic data were developed to provide information useful for their long-range planning activities. The major portion of the data documented and discussed consists of project- and system-level schedule and funding information and also project-, system-, and subsystem-level cost summaries.

Manned space began with the promise of setting foot on the Moon in the first decade of the space age; this was done by the APOLLO project which combined unprecedented technological innovation with space and moon science. The scientific results of APPOLO will be briefly reviewed together with the lessons to be learnt from this unique experience. In the last 34 years, manned space was limited to low earth orbit and it can be reasonably argued that the science return from continuing will be to the maximum incremental, however, the full use of the present space station could still be considered for external instrument platforms as, for example, a planetary telescope. Independently of the science objectives, the Presidential Vision in the United States and the Lisbon declaration of the European Union have led to new manned exploration programmmes returning to the Moon, going to Mars and beyond. The current status of these ambitious projects and their return for planetary science will be reviewed.

Short- and long-wave radiation flux densities absorbed by people have a significant influence on their energy balance. The heat effect of the absorbed radiation flux densities is parameterised by the mean radiant temperature. This paper presents the physical basis of the RayMan model, which simulates the short- and long-wave radiation flux densities from the three-dimensional surroundings in simple and complex environments. RayMan has the character of a freely available radiation and human-bioclimate model. The aim of the RayMan model is to calculate radiation flux densities, sunshine duration, shadow spaces and thermo-physiologically relevant assessment indices using only a limited number of meteorological and other input data. A comparison between measured and simulated values for global radiation and mean radiant temperature shows that the simulated data closely resemble measured data.

Short- and long-wave radiation flux densities absorbed by people have a significant influence on their energy balance. The heat effect of the absorbed radiation flux densities is parameterised by the mean radiant temperature. This paper presents the physical basis of the RayMan model, which simulates the short- and long-wave radiation flux densities from the three-dimensional surroundings in simple and complex environments. RayMan has the character of a freely available radiation and human-bioclimate model. The aim of the RayMan model is to calculate radiation flux densities, sunshine duration, shadow spaces and thermo-physiologically relevant assessment indices using only a limited number of meteorological and other input data. A comparison between measured and simulated values for global radiation and mean radiant temperature shows that the simulated data closely resemble measured data.

Bone metastases from prostate cancer are very common. They are usually located on the axial skeleton. However, cranial bone metastases especially to the parietal bone are rare. We report a case of metastatic prostate cancer presenting with left parietal bone metastasis in a patient with no urological symptoms or signs. We should consider prostate cancer in any man above 60 years presenting unusual bone lesions.

The selection of a propulsion system for a man-tended platform has been influenced by the planned use of resistojets for drag make-up on the manned space station. For that application a resistojet has been designed that is capable of operation with a wide variety of propellants, including water. The reasons for the selection of water as the propellant and the performance of water as a propellant are discussed. The man-tended platform and its mission requirements are described.

The selection of a propulsion system for a man-tended platform has been influenced by the planned use of resistojets for drag make-up on the manned Space Station. For that application a resistojet has been designed that is capable of operation with a wide variety of propellants, including water. The reasons for the selection of water as the propellant and the performance of water as a propellant are discussed. The man-tended platform and its mission requirements are described.

The aerothermodynamic environment during the earth return portion of a specific manned Mars mission is studied. Particular attention is given to the earlier smaller crew return capsule and its thermal protection system requirements. Data are presented on the stagnation region of a generic Mars return capsule. Insulation material thicknesses required to maintain allowable structural temperatures throughout a prolonged heat soak period are estimated.

A computer program for assessing manned space station environmental control and life support systems technology is described. The methodology, mission model parameters, evaluation criteria, and data base for 17 candidate technologies for providing metabolic oxygen and water to the crew are discussed. Examples are presented which demonstrate the capability of the program to evaluate candidate technology options for evolving space station requirements.

We report a rare case of silicosis, histologically corresponding to silicoproteinosis and tuberculosis, in a man working consecutively as a miner, blacksmith and founder. A microscopic study revealed deposits in alveoli, in which immunohistochemistry did not reveal surfactant (SP-A), that was present in the alveolar fluid in alveolar lipoproteinosis.

A 30-year-old manpresented with a knife in his head; it had perforated the left temporal area and its point was located in the mouth. After surgical removal of the knife, the patient left the hospital without functional deficits.

A 39-year-old man had been treated for rectal cancer 6 years ago by lower anterior resection of the rectum and perioperative radiochemotherapy. Since then follow-up had been unremarkable but now the patient presented with unspecific lower abdominal pain. The cause of the pain was identified as paraneoplastic retroperitoneal fibrosis secondary to metachronous pulmonary metastases of the rectal cancer.

This paper discusses current problems of psychophysiological support of manned space missions and presents the concept of a psychophysiological complex of the orbital biomedical laboratory Medilab and other advanced space vehicles based on new methodological approaches. The paper describes principles of selection of psychophysiological methods to be used in Medilab programs as well as their instrumental, mathematical, hardware and software structures.

Three specific contributions to the field of information retrieval are presented. The first two describe the establishment of an adaptive, interactive man-machine dialogue that produces a form of unsolicited librarian-like assistance for the user in his selection of index terms to characterize an indexing function. The data set upon which the…

The five year program plan for the manned orbit transfer vehicle (MOTV) is presented. The planning, schedules, cost estimates, and supporting data (objectives, constraints, assumptions, etc.) associated with the development of the MOTV are discussed. The plan, in addition to the above material, identifies the supporting research and technology required to resolve issues critical to MOTV development.

The authors present a case study of a 70-year-old man with Down syndrome ("Mr. C.") who they followed for 16 years and who does not exhibit declines in cognitive or functional capacities indicative of dementia, despite having well-documented, complete trisomy 21. The authors describe the age-associated changes that occurred over 16 years as well…

Summarizes presentations given at the second annual symposium "Man and the Media" at the Institute for Romance Languages at the University of Saarbrucken, West Germany in September 1986. Includes comparisons between French and German news coverage on TV, teaching French using TV, and cross-cultural problems in using instructional videos.…

Information used in identifying representative Manned Maneuvering Unit (MMU) from the many Automated and Sortie Payloads and orbiter subsystems is presented. Representative missions were selected to represent typical MMU applications across all payloads and orbiter subsystems. Data analysis sheets are provided with other applicable information. Calculations used in defining MMU general performance and control requirements to satisfy eleven space missions are included.

In the study to determine the role of man in Sortie Lab operations, a functional model of a generalized experiment system was developed. The results are presented of a requirements analysis which was conducted to identify performance requirements, information requirements, and interface requirements associated with each function in the model.

The Calysto: Risk Management for Commercial Manned Spaceflight study analyzes risk management in large enterprises and how to effectively communicate risks across organizations. The Calysto Risk Management tool developed by NASA's Kennedy Space Center's SharePoint team is used and referenced throughout the study. Calysto is a web-base tool built on Microsoft's SharePoint platform. The risk management process at NASA is examined and incorporated in the study. Using risk management standards from industry and specific organizations at the Kennedy Space Center, three methods of communicating and elevating risk are examined. Each method describes details of the effectiveness and plausibility of using the method in the Calysto Risk Management Tool. At the end of the study suggestions are made for future renditions of Calysto.

Sir Frederick Treves first showed Joseph Merrick, the famous Elephant Man, to the Pathological Society of London in 1884. A diagnosis of neurofibromatosis was suggested in 1909 and was widely accepted. There is no evidence, however, of café au lait spots or histological proof of neurofibromas. It is also clear that Joseph Merrick's manifestations were much more bizarre than those commonly seen in neurofibromatosis. Evidence indicates that Merrick suffered from the Proteus syndrome and had the following features compatible with this diagnosis: macrocephaly; hyperostosis of the skull; hypertrophy of long bones; and thickened skin and subcutaneous tissues, particularly of the hands and feet, including plantar hyperplasia, lipomas, and other unspecified subcutaneous masses.

It is shown that urinary excretion of ADH can be detected readily and quantitated accurately. The ADH excretion in normal subjects is inhibited following the administration of a water load and stimulated following water deprivation. It appears that measurement of ADH excretion in man provides a means of quantitating alterations in neurohypophyseal ADH secretion. By determining not only the basal excretion of ADH but also the response to such physiological influences as water loading and dehydration, it becomes possible to study the dynamics of ADH release. Thus, the ability to extract ADH efficiently from urine combined with a sensitive and specific technique for determination of ADH concentration allows the exploration of regulatory systems for ADH control in the normal state as well as the etiological role of altered ADH secretion in clinical disorders of water balance.

Using two books by Adolphe Quetelet, I analyze his theory of the 'average man', which associates biological and social normality with the frequency with which certain characteristics appear in a population. The books are Sur l'homme et le développement de ses facultés and Du systeme social et des lois qui le régissent. Both reveal that Quetelet's ideas are permeated by explanatory strategies drawn from physics and astronomy, and also by discursive strategies drawn from theology and religion. The stability of the mean as opposed to the dispersion of individual characteristics and events provided the basis for the use of statistics in social sciences and medicine.

Danon disease is a rare, codominant X-linked genetic disorder characterized by the triad of left ventricular hypertrophy, mental retardation, and peripheral myopathy. This disease is caused by mutations in the gene that encodes lysosomal associated membrane protein 2 (LAMP2), a deficiency of which results in the accumulation of autophagic granular débris within the vacuoles of muscle cells. This is a report of an asymptomatic 19-year-old man with Danon disease in the absence of mental retardation or clinically significant skeletal myopathy. This case underscores the importance of accurate diagnosis of unexplained left ventricular hypertrophy, in order to establish an appropriate treatment plan and to advise genetic counseling. PMID:24955057

Danon disease is a rare, codominant X-linked genetic disorder characterized by the triad of left ventricular hypertrophy, mental retardation, and peripheral myopathy. This disease is caused by mutations in the gene that encodes lysosomal associated membrane protein 2 (LAMP2), a deficiency of which results in the accumulation of autophagic granular débris within the vacuoles of muscle cells. This is a report of an asymptomatic 19-year-old man with Danon disease in the absence of mental retardation or clinically significant skeletal myopathy. This case underscores the importance of accurate diagnosis of unexplained left ventricular hypertrophy, in order to establish an appropriate treatment plan and to advise genetic counseling.

The two prime objectives of the Manned Remote Work Station (MRWS) Development Article Study are to first, evaluate the MRWS flight article roles and associated design concepts for fundamental requirements and embody key technology developments into a simulation program; and to provide detail manufacturing drawings and schedules for a simulator development test article. An approach is outlined which establishes flight article requirements based on past studies of Solar Power Satellite, orbital construction support equipments, construction bases and near term shuttle operations. Simulation objectives are established for those technology issues that can best be addressed on a simulator. Concepts for full-scale and sub-scale simulators are then studied to establish an overall approach to studying MRWS requirements. Emphasis then shifts to design and specification of a full-scale development test article.

The orbital operations required to accumulate, assemble, test, verify, maintain, and launch complex manned space systems on interplanetary missions from earth orbit are as vital as the flight hardware itself. Vast numbers of orbital crew are neither necessary nor desirable for accomplishing the required tasks. A suite of robotic techniques under human supervisory control, relying on sensors, software and manipulators either currently emergent or already applied in terrestrial settings, can make the job tractable. The mission vehicle becomes largely self-assembling, using its own rigid aerobrake as a work platform. The Space Station, having been used as a laboratory testbed and to house an assembly crew of four, is not dominated by the process. A feasible development schedule, if begun soon, could emplace orbital support technologies for exploration missions in time for a 2004 first interplanetary launch.

Drawing upon worldwide examples, the author traces mankind's interaction with nature and examines human interference with environmental systems at various stages of social development. Succeeding chapters take up man's specific impact on vegetation, animals, the soil, the waters, landforms, climate, and the atmosphere. With the aid of maps, diagrams, and graphs, the book analyzes the causes and consequences of environmental changes associated with such large-scale events as agricultural expansion, domestication, deforestation, and urbanization, including the spread of salination, extinction, erosion, and pollution. Interrelations, often dynamic and unpredictable, between these phenomena make it difficult to isolate the causes of changes and to determine the resiliency of natural systems to change. 505 references, 82 figures, 97 tables.

Methods involved in and results obtained with a new comprehensive ataxia test battery are described, and definitions of spontaneous and induced vestibular ataxia in man are given in terms of these findings. In addition, the topic of alcohol-induced ataxia in relation to labyrinth function is investigated. Items in the test battery comprise a sharpened Romberg test, in which the subject stands on the floor with eyes closed and arms folded against his chest, feet heel-to-toe, for 60 seconds; an eyes-open walking test; an eyes-open standing test; an eyes-closed standing test; an eyes-closed on-leg standing test; an eyes-closed walk a line test; an eyes-closed heel-to-toe walking test; and supplementary ataxia tests such as the classical Romberg test.

From a study that identified over 100 possible geosynchronous orbit-related applications for manned orbit transfer vehicles (MOTV), a group of 20 are chosen for consideration. These generic missions can be grouped into five categories: (1) inspection service and repair, (2) operation of large systems, (3) debris removal, (4) construction, and (5) unmanned cargo. Among the findings of this study is that space basing permits more efficient use of Space Shuttle flights, since the core propulsion system, crew cabin and general purpose mission hardware need not be launched into space each time. A conservative traffic model shows that $600 million may be saved over five years by space basing, due to the decreased number of Shuttle flights needed to support the space-based MOTV. Crew information, payloads, characteristics of the vehicle, and mission requirements are covered in detail.

A two-stage fully reusable rocked powered concept is defined and analyzed in detail for the Advanced Manned Launch System missions. The concept elements include a Mach 3 staging unmanned glideback booster and a 149-ft long winged orbiter with an external payload canister with a 15-ft diameter and 30-ft long payload bay. The booster and orbiter main propulsion system is a lightweight derivative of the current Space Shuttle Main Engine. The primary mission is the Space Station Freedom logistics mission, 40,000-lb payload with two crew members and eight passengers. The structural design and material selection, the thermal protection system, the integral cryogenic tanks and insulation, the propulsion system, and the modular payload canister system are described. The ground and flight operations approach analysis, the manufacturing and certification plan, and the technology development requirements are also discussed.

The determination of sex is influenced by ionic factors. In man, ionic imbalance is responsible for the sex ratio in at least 80% of cases, the possible mechanism being one of selective fertilization. These facts constitute the scientific basis for the medicodietary method of selecting sex. The intervention of ions in ovarian metabolism is obtained by controlling the diet of the woman, the decisive factor being the ratio of K+ + Na+ to Ca2+ + Mg2+ in the daily diet. High values of this ratio lead to boys, and low values to girls. Using this method since 1970 in 47 births, only 7 of them failed to produce the expected sex. The interactions and the causes of failure are analyzed.

Classical mechanics is based upon a mechanical picture of nature that is fundamentally incorrect. It has been replaced at the basic level by a radically different theory: quantum mechanics. This change entails an enormous shift in one`s basic conception of nature, one that can profoundly alter the scientific image of man himself. Self-image is the foundation of values, and the replacement of the mechanistic self-image derived from classical mechanics by one concordant with quantum mechanics may provide the foundation of a moral order better suited to today`s times, a self-image that endows human life with meaning, responsibility, and a deeper linkage to nature as a whole.

Ruggiero Giuseppe Boscovich (1711-1781) is known as one of the most important scientists of the second half of XVIII century, but he was active also as a man of letters, especially through an abundant production of poems in Latin verse. We try to interpret these two, apparently antinomic, aspects of his character in the framework of the culture of his epoch, in which science and literary productions were not considered as two separate or opposite fields, but only two different aspects of human knowledge. In particular we review the field of his poetic production in which this fundamental unity of knowledge is most evident, namely his poems with didactic-scientific subjects, which are examples of high-level popularization of the latest progresses in science (in particular astronomy and Newtonian physics) by means of elegant Latin verse.

The respiratory toxicity of cannabis is well known today. Along with the classic cannabis 'joint', there are other ways of consuming it, which should be known. Smoking cannabis that has been cut with micro-particles of silicon dioxide may cause hemoptysis. We will describe here the case of a young 16-year-old man who was in the hospital because of hemoptic expectoration. The etiologic investigation was negative, in particular a thoracic scan and a bronchial fiberscope. Questioning the patient afterwards allowed us to discover the inhalation of cannabis 2 h before the hemoptysis, cannabis mixed with micro-particles of silicon dioxide. Stopping inhalation stopped the symptoms. Pediatricians should be familiarized with such practices. Silicon dioxide particles cause ENT problems or bronchial ones (coughing, spitting, hemoptysis, wheezing). Over the long term, the risk of silicosis cannot be excluded, although a longer and more complete exposure is necessary.

A four-state random stimulus generator, considered to function as an ESP teaching machine was used to investigate an approach to facilitating interactions between man and machines. A subject tries to guess in which of four states the machine is. The machine offers the user feedback and reinforcement as to the correctness of his choice. Using this machine, 148 volunteer subjects were screened under various protocols. Several whose learning slope and/or mean score departed significantly from chance expectation were identified. Direct physiological evidence of perception of remote stimuli not presented to any known sense of the percipient using electroencephalographic (EEG) output when a light was flashed in a distant room was also studied.

We describe the case of a 62-year-old man who presented with shortness of breath that had progressed over several years. He had a history of a paralyzed right hemidiaphragm for at least the previous 10 years. He also reported weakness in his proximal legs and daytime sleepiness. On examination, he was found to have thoracoabdominal paradox when in supine position. Pulmonary function testing revealed severe restriction; arterial blood gas showed chronic respiratory acidosis. Electromyography showed chronic phrenic neuropathy bilaterally, with mild proximal myopathy. Serum aldolase level was mildly elevated, but serologic tests for connective tissue disorders were within reference range. After extensive clinical investigations, the patient was found to have severely reduced acid α-glucosidase. Genetic analysis confirmed the diagnosis of adult-onset Pompe disease. The patient started treatment with bilevel positive airway pressure titrated during polysomnography, and acid α-glucosidase enzyme replacement was recommended. PMID:27141434

Exposure to thermal environment is one of the main concerns for manned space exploration. By focusing on the works performed on thermoregulation at microgravity or simulated microgravity, we endeavored to review the investigation on space thermal environmental physiology. First of all, the application of medical requirements for the crew module design from normal thermal comfort to accidental thermal emergencies in a space craft will be addressed. Then, alterations in the autonomic and behavioral temperature regulation caused by the effect of weightlessness both in space flight and its simulation on the ground are also discussed. Furthermore, countermeasures like exercise training, simulated natural ventilation, encouraged drink, etc., in the protection of thermoregulation during space flight is presented. Finally, the challenge of space thermal environment physiology faced in the future is figured out.

A 73-year-old man, with known motor aphasia presented with high fever, dyspnoea, and vomiting. Only after several days it appeared that these signs were due to a sepsis as a consequence of a phlegmon of the neck, caused by an aspired part of his set of false teeth. The delay before diagnosis was due to the fact that adequate medical history taking was difficult because of the aphasia and attempts at non-verbal communication were poorly understood. The localization of the corpus alienum was a second pitfall, because it could not be visualized during physical examination or on the initial chest X-ray. The increased risk of colonization of dentures with pathogenic micro-organisms in nursing home residents may have played a role in the severe course of this infection. This case illustrates the diagnostic problems that may exist in patients who are unable to communicate adequately.

Metastasis of an extracranial malignant neoplasm to a meningioma is a rare event.We report a case of a 72-year-old man who presented abruptly with a grand mal seizure. Neuroradiological examination revealed an extraaxial lesion located in the posterior right frontal convexity with poorly defined boundaries. Histological and immunohistochemical examination showed that the lesion was a meningothelial meningioma harboring metastatic renal cell carcinoma.The MRI could be indicative but not specific of this type of lesion.Some cases of intracranial meningiomas containing metastatic carcinomas have been published, but to our knowledge only five cases of renal cell carcinoma metastasizing to a meningioma have been reported. Possible explanations for this type of "tumor in tumor" lesion are reviewed.

Radiation measurements obtained on board U.S. and Soviet spacecraft are presented and discussed. A considerable amount of data has now been collected and analyzed from measurements with a variety of detector types in low-Earth orbit. The objectives of these measurements have been to investigate the dose and Linear Energy Transfer (LET) spectra within the complex shielding of large spacecraft. The shielding modifies the external radiation (trapped protons, electrons, cosmic ray nuclei) which, in turn, is quite dependent on orbital parameters (altitude, inclination). For manned flights, these measurements provide a crew exposure record and a data base for future spacecraft design and flight planning. For the scientific community they provide useful information for planning and analyzing data from experiments with high sensitivity to radiation. In this paper, results of measurements by both passive and active detectors are described. High-LET spectra measurements were obtained by means of plastic nuclear track detectors (PNTD's) while thermoluminescent dosimeters (TLD's) measured the dose.

A compilation of 223 mishaps assembled from company and NASA records covering the Accident/Incident experience in 1970-1971 in the Manned Space Flight Programs is presented. It is the companion volume to NASA-CR-120998 which covered the years 1963-1969. The objectives of this summary is to make available to Government agencies and industrial firms the lessons learned from these mishaps. Each accident/incident summary has been reviewed by description, cause and recommended preventive action. The summaries have been categorized by the following ten systems: (1) Cryogenic; (2) Electrical; (3) Facility/GSE; (4) Fuel and Propellant; (5) Life Support; (6) Ordnance; (7) Pressure; (8) Propulsion; (9) Structural; and (10) Transport/Handling.

Dermatophilus congolensis infection (dermatophilosis) is an acute, subacute or chronic skin disease affecting a wide range of species of animals and man. It is world widely distributed but more prevalent in the humid, tropics and subtropics. The disease is now being reviewed in detail. In the present review, the geographical distribution, history and nomenclature, animal hosts affected, aetiological agent and clinical signs of the disease are discussed extensively. Emphasis is also given on the predisposing factors such as rainfall, humidity, ectoparasites etc. under epizootiology. Pathogenesis, pathology, immunology treatment, control and prophylaxis are other areas well covered. The economic importance of the disease is also stressed and a new approach (biological approach) to treatment and control of the disease is being described in this review. It was concluded that in view of the importance of the disease for the increase of livestock and leather production in the tropical and subtropical region especially in Africa, an international centre for dermatophilosis research is highly needed.

The purpose of this paper is to present the engineering design of the advanced Man-Machine Interface (MMI) of the Integrated system for Radwaste Treatment and Storage (RTS) facility in Institute of Nuclear Energy Research (INER) Taiwan, ROC. To build the RTS, a multi-function radwaste facility with a total storage of about 10,000 drums, is a five-year project starting in 2000 including intermediate activity waste treatment and combustible waste storage. The completed engineering design of the MMI is based on proven technologies and digital control systems, enhancing the radwaste management efficiency and reliability of operator's performance as well as assuring the dose exposure of personnel meeting the regulation standard. Over past few years, INER has accumulated extensive experience in the area of radwaste treatment and storage. Therefore, we are confident that we will complete this project with fulfillment of the requirements of RTS.

In 1973 a concept for a manned space flight experiment was submitted to NASA as an unsolicited proprietary proposal,*. In 1998*, 2004*, and 2013* proposals successively more details were provided. An abbreviation of the 1998 proposal was published. By 2013 the five technical variables of 1998 had increased to over ten. Some technical and management details of the proposals will be presented and updated. The first flight of two could use some hardware now being developed. The experiment seems superior to any mission publicly advocated by NASA, so this talk's purpose is to encourage NASA to delay landing humans on Mars until the first spacecraft can be developed and activated. *Complete proposals are in the Philip C. Fisher papers, Niels Bohr Library and Archives, American Institute of Physics (available one year after author's death). Work after 1982 supported by successive forms of Ruffner Associates.

A trajectory optimization method of the nuclear propulsion manned asteroids exploration is presented. In the case of launching between 2035 and 2065, based on the Lambert transfer orbit, the phases of departure from and return to the Earth are searched at first. Then the optimal flight trajectory in the feasible regions is selected by pruning the flight sequences. Setting the nuclear propulsion flight plan as propel-coast-propel, and taking the minimal mass of aircraft departure as the index, the nuclear propulsion flight trajectory is separately optimized using a hybrid method. With the initial value of the optimized local parameters of each three phases, the global parameters are jointedly optimized. At last, the minimal departure mass trajectory design result is given.

We report the case of a 22-year old man with intracranial metallic foreign bodies who presented complaining of a headache. His history of headaches had begun when he was five years old and continued with increasing severity. Six months before hospital admission, nausea and vomiting began to accompany his headache. Computed tomography scan revealed that 2 metallic foreign bodies were located adjacent to the vertex and another was next to the ambient cistern. The location and position of foreign bodies suggested that they were introduced in infancy through the anterior fontanelle before its closure in an unsuccessful homicide attempt. This case is one of the few reported cases combining headache and intracranial foreign bodies and we discuss the relationship between headache and these metallic materials. PMID:23355931

The present rates of man-made, space object propagation are such that there is a real probability of self propagation which, if uncontrolled can lead to a serious limitation to future uses of spacecraft for beneficial purposes. Effective control over the debris issue requires adoption and adherence to policy at a world wide level (any one nation's unknowing, selfish or deliberately adverse action can conceivably jeopardize other useful applications of space satellites for years into the future). The near-term environment may not seriously jeopardize the near-term missions. However, absence of control and/or nonadherence to a control policy in the near-term can result in a debris environment that can severely limit long - term mission opportunities. The data upon which these observations are based continues to be investigated. These investigations tend to validate the preceding observations and emphasize the need for near-term action to establish responsible control policy and implementation actions.

The initiation of the (German-) nationally funded control center for manned spaceflight operations triggered by the invitation of President Reagan to ESA, Japan, and Canada in 1984 to join the International Space Station Freedom Program is recalled. The requirements for a Manned Space-Laboratories Control Center (MSCC) as defined at the beginning of the planning and construction process in 1987 and the resulting modifications during the various programmatic scenario changes on NASA and ESA side between 1987 and now are presented. The validity of the original requirements with respect to the current scenario, which asks for a logical evolution from the execution of the D-2 mission in January 1993 via the European Columbus Precursor flights (in particular the E-1 mission) towards Columbus Attached Laboratory (APM)-operations by the end of this century are discussed. The resulting tasks of the MSCC for the various missions, the current configuration, and the ensuing operations concept leading from a more centralized concept for D-2 towards a decentralized payload operations concept for the APM and the implications with respect to European and International interfaces are presented. The planned Columbus MSCC facility architecture and its expected modifications introduced by the ESA Ministerial Conference in Munich (Nov. 1991) and follow-on discussions are briefly addressed. The last chapter outlines the planned services to be provided by the MSCC to the decentralized User (experimenter) community. Issues like decentralized mission planning on executional level, command validation, data flow coordination, archiving services, and telescience capabilities are highlighted from a MSCC point of view.

Erectile dysfunction (ED) in a young man is an important health problem that significantly impacts the patient's quality of life and can have a detrimental effect on his well-being and relationship with his partner. Erectile dysfunction or impotence is one of the few disorders that will bring a young man into the doctor's office. This review article focuses on the epidemiology, etiology, presentation, work-up, and treatment of young men (age ~20-40 years old) presenting with complaints of ED. It is important to identify the precise etiology of the ED before proceeding with further evaluation and treatment because the work-up can be invasive and costly. ED is estimated to affect 20 % of men above 40 years of age, with the incidence increasing with increasing age. Erectile dysfunction has traditionally been seen as an age-dependent problem; however, approximately 2 % of men are affected at 40 years of age but this may be a gross underestimation secondary to reporting bias. Because ED is traditionally seen in the aging male population, studies regarding ED tend to be more frequently carried out among middle-aged and elderly men rather than in young men. These studies underline how comorbidities such as diabetes mellitus, cardiovascular or neurological pathologies, and medication use are strongly linked with ED. In addition, ED has been described to be associated with obesity or physical inactivity. This review article summarizes the important information that all sexual medicine providers should be familiar with when diagnosing, counseling, and treating young men with erectile dysfunction.

The initial concepts developed for the in-orbit assembly of a Manned Mars Vehicle and for the Earth-to-Orbit (ETO) delivery of the required hardware and propellant are presented. Two (2) Mars vehicle concepts (all-propulsive and all-aerobrake) and two (2) ETO Vehicle concepts were investigated. Both Mars Vehicle concepts are described in Reference 1, and both ETO Vehicle concepts are described in Reference 2. The all-aerobrake configuration reduces the number of launches and time required to deliver the necessary hardware/propellent to orbit. Use of the larger of the 2 ETO Vehicles (HLLV) further reduces the number of launches and delivery time; however, this option requires a completely new vehicle and supporting facilities.

We report the single-case study of a brain-damaged individual, JJG, presenting with a conceptual deficit and whose knowledge of living things, man-made objects, and actions was assessed. The aim was to seek for empirical evidence pertaining to the issue of how conceptual knowledge of objects, both living things and man-made objects, is related to…

The Manned Mars Explorer (MME) project responds to the fundamental problems of sending human beings to Mars in a mission scenario and schematic vehicle designs. The mission scenario targets an opposition class Venus inbound swingby for its trajectory with concentration on Phobos and/or Deimos as a staging base for initial and future Mars vicinity operations. Optional vehicles are presented as a comparison using nuclear electric power/propulsion technology. A Manned Planetary Vehicle and Crew Command Vehicle are used to accomplish the targeted mission. The Manned Planetary Vehicle utilizes the mature technology of chemical propulsion combined with an advanced aerobrake, tether and pressurized environment system. The Crew Command Vehicle is the workhorse of the mission performing many different functions including a manned Mars landing, and Phobos rendezvous.

A 37-year-oldmanpresented with a history of episodic wheeze and breathlessness of 3 years’ duration refractory to treatment. Physical examination revealed diffuse expiratory polyphonic rhonchi while the remainder of the examination including the cardiac examination was reported as normal. Pulmonary function testing revealed mild obstruction with bronchodilator reversibility. The patient was discharged on a 6-month course of antitubercular treatment (ATT) as bronchial brush cytology (obtained via bronchoscopy) was positive for acid-fast bacilli. The patient presented after completing 6 months of ATT with persistent symptoms, a loud S1 and a mid-diastolic murmur at the apex. High-resolution CT of the chest showed bilateral dependent ground glass opacities. An echocardiogram revealed a left atrial myxoma, and normal RV size and pressures. The patient underwent successful surgical removal of the same, and made a complete recovery. Refractory wheeze is a very unusual presentation of a left atrial myxoma. PMID:25733086

We report a case of a 37-year-oldmanpresented with acute stroke and hepatorenal impairment which were associated with anabolic-androgenic steroids (AAS) abuse over 2 years. Despite the absence of apparent symptoms and signs of congestive heart failure at presentation, an AAS-induced dilated cardiomyopathy with multiple thrombi in the left ventricle was attributed to be the underlying cause of his condition. Awareness of the complications of AAS led to the prompt treatment of the initially unrecognised dilated cardiomyopathy, and improved the liver and kidney functions. However, the patient was exposed to a second severe ischaemic event, which led to his death. This unique and complex presentation of AAS complications opens for better recognition and treatment of their potentially fatal effects.

The opportunities for research made available by in-orbit manned space platforms is extensive. Research topics from space life science and biotechnology to material science and structural mechanics, from Astrophysics to the Low Earth Orbit environment to name a few. The list is long and has been growing steadily since the launch of Salyut 1 in 1971 till the present day ISS. With the construction of the ISS now into its final phase, what is the future of such research platforms? What will the "Next Generation" space station comprise of? What of manned research platforms beyond LEO and what constraints are foreseen after ISS. This paper presents current issues concerning the conceptual design of the "Next Generation" manned space platforms, the obstacles that are predicted concerning major subsystems of such platforms and also predictions of where the foci of research will concentrate. Future developments of the next generation manned space platforms presents research by the author in both his previous academic institutions1, personal opinions and the opinions of other young space research students and space professionals including Super Aero (France), Leicester University and Space Research Centre (UK) and Moscow State University (Russia). Here the author will detail the areas in which the contributors (representing the next generation space professionals) believe manned space platform architectures will be evolved, new technological developments and barriers to be overcome. In addition, new methods of Spacecraft design will also be presented, referring in the main to the Space Station Design Workshop 2002 (ESTEC Concurrent Design Facility) a week long workshop where a group of 30 young space professionals where brought together to design a conceptual space station. Future developments of the next generation manned space platforms has been composed with two aims. Firstly, to convey to both young space enthusiasts and more mature space professionals the ideas

Reports of the chlorophyll (Chl) d-containing cyanobacterium Acaryochloris have accumulated since its initial discovery in 1996. The majority of this evidence is based on amplification of the gene coding for the 16S rRNA, and due to the wide geographical distribution of these sequences, a global distribution of Acaryochloris species was suggested. Here, we present a rapid, reliable, and cost-effective TaqMan-based quantitative PCR (qPCR) assay that was developed for the specific detection of Acaryochloris species in complex environmental samples. The TaqMan probe showed detection limits of ∼10 16S rRNA gene copy numbers based on standard curves consisting of plasmid inserts. DNA from five Acaryochloris strains, i.e., MBIC11017, CCMEE5410, HICR111A, CRS, and Awaji-1, exhibited amplification efficiencies of >94% when tested in the TaqMan assay. When used on complex natural communities, the TaqMan assay detected the presence of Acaryochloris species in four out of eight samples of crustose coralline algae (CCA), collected from temperate and tropical regions. In three out of these TaqMan-positive samples, the presence of Chl d was confirmed via high-performance liquid chromatography (HPLC), and corresponding cell estimates of Acaryochloris species amounted to 7.6 × 101 to 3.0 × 103 per mg of CCA. These numbers indicate a substantial contribution of Chl d-containing cyanobacteria to primary productivity in endolithic niches. The new TaqMan assay allows quick and easy screening of environmental samples for the presence of Acaryochloris species and is an important tool to further resolve the global distribution and significance of this unique oxyphototroph. PMID:24632258

Reports of the chlorophyll (Chl) d-containing cyanobacterium Acaryochloris have accumulated since its initial discovery in 1996. The majority of this evidence is based on amplification of the gene coding for the 16S rRNA, and due to the wide geographical distribution of these sequences, a global distribution of Acaryochloris species was suggested. Here, we present a rapid, reliable, and cost-effective TaqMan-based quantitative PCR (qPCR) assay that was developed for the specific detection of Acaryochloris species in complex environmental samples. The TaqMan probe showed detection limits of ~10 16S rRNA gene copy numbers based on standard curves consisting of plasmid inserts. DNA from five Acaryochloris strains, i.e., MBIC11017, CCMEE5410, HICR111A, CRS, and Awaji-1, exhibited amplification efficiencies of >94% when tested in the TaqMan assay. When used on complex natural communities, the TaqMan assay detected the presence of Acaryochloris species in four out of eight samples of crustose coralline algae (CCA), collected from temperate and tropical regions. In three out of these TaqMan-positive samples, the presence of Chl d was confirmed via high-performance liquid chromatography (HPLC), and corresponding cell estimates of Acaryochloris species amounted to 7.6 × 10(1) to 3.0 × 10(3) per mg of CCA. These numbers indicate a substantial contribution of Chl d-containing cyanobacteria to primary productivity in endolithic niches. The new TaqMan assay allows quick and easy screening of environmental samples for the presence of Acaryochloris species and is an important tool to further resolve the global distribution and significance of this unique oxyphototroph.

The Exploration Laboratory Analysis (ELA) project supports the Exploration Medical Capability Element under the NASA Human Research Program. ELA instrumentation is identified as an essential capability for future exploration missions to diagnose and treat evidence-based medical conditions. However, mission architecture limits the medical equipment, consumables, and procedures that will be available to treat medical conditions during human exploration missions. Allocated resources such as mass, power, volume, and crew time must be used efficiently to optimize the delivery of in-flight medical care. Although commercial instruments can provide the blood and urine based measurements required for exploration missions, these commercial-off-the-shelf devices are prohibitive for deployment in the space environment. The objective of the ELA project is to close the technology gap of current minimally invasive laboratory capabilities and analytical measurements in a manner that the mission architecture constraints impose on exploration missions. Besides micro gravity and radiation tolerances, other principal issues that generally fail to meet NASA requirements include excessive mass, volume, power and consumables, and nominal reagent shelf-life. Though manned exploration missions will not occur for nearly a decade, NASA has already taken strides towards meeting the development of ELA medical diagnostics by developing mission requirements and concepts of operations that are coupled with strategic investments and partnerships towards meeting these challenges. This paper focuses on the remote environment, its challenges, biomedical diagnostics requirements and candidate technologies that may lead to successful blood/urine chemistry and biomolecular measurements in future space exploration missions. SUMMARY The NASA Exploration Laboratory Analysis project seeks to develop capability to diagnose anticipated space exploration medical conditions on future manned missions. To achieve

The last thirty years have seen the Space Shuttle as the prime United States spacecraft for manned spaceflight missions. Many lessons have been learned about spacecraft design and operation throughout these years. Over the next few decades, a large increase of manned spaceflight in the commercial sector is expected. This will result in the exposure of commercial crews and passengers to many of the same risks crews of the Space Shuttle have encountered. One of the more dire situations that can be encountered is the loss of pressure in the habitable volume of the spacecraft during on orbit operations. This is referred to as a cabin leak. This paper seeks to establish a general cabin leak response philosophy with the intent of educating future spacecraft designers and operators. After establishing a relative definition for a cabin leak, the paper covers general descriptions of detection equipment, detection methods, and general operational methods for management of a cabin leak. Subsequently, all these items are addressed from the perspective of the Space Shuttle Program, as this will be of the most value to future spacecraft due to similar operating profiles. Emphasis here is placed upon why and how these methods and philosophies have evolved to meet the Space Shuttle s needs. This includes the core ideas of: considerations of maintaining higher cabin pressures vs. lower cabin pressures, the pros and cons of a system designed to feed the leak with gas from pressurized tanks vs. using pressure suits to protect against lower cabin pressures, timeline and consumables constraints, re-entry considerations with leaks of unknown origin, and the impact the International Space Station (ISS) has had to the standard Space Shuttle cabin leak response philosophy. This last item in itself includes: procedural management differences, hardware considerations, additional capabilities due to the presence of the ISS and its resource, and ISS docking/undocking considerations with a

The manned low Earth orbit platforms (MLEOPs), e.g., the U.S. and Russia's human space vehicles, the International Space Station (ISS) and Chinese Tiangong-1 experimental space laboratory not only provide laboratories for scientific experiments in a wide range of disciplines, but also serve as exceptional platforms for remote observation of the Earth, astronomical objects and space environment. As the early orbiting platforms, the MLEOPs provide humans with revolutionary accessibility to the regions on Earth never seen before. Earth observation from MLEOPs began in early 1960s, as a part of manned space flight programs, and will continue with the ISS and upcoming Chinese Space Station. Through a series of flight missions, various and a large amount of Earth observing datasets have been acquired using handheld cameras by crewmembers as well as automated sophisticated sensors onboard these space vehicles. Utilizing these datasets many researches have been conducted, demonstrating the importance and uniqueness of studying Earth from a vantage point of MLEOPs. For example, the first, near-global scale digital elevation model (DEM) was developed from data obtained during the shuttle radar topography mission (SRTM). This review intends to provide an overview of Earth observations from MLEOPs and present applications conducted by the datasets collected by these missions. As the ISS is the most typical representative of MLEOPs, an introduction to it, including orbital characteristics, payload accommodations, and current and proposed sensors, is emphasized. The advantages and challenges of Earth observation from MLEOPs, using the ISS as an example, is also addressed. At last, a conclusive note is drawn.